The Journal of Laryngology & Otology

Clinical Records

Miller Fisher syndrome: a diagnosis not to be missed

S J Davisa1 c1, R Saliba1, H Buchana2 and E Nilssena1

a1 Departments of Otorhinolaryngology, Portsmouth, UK

a2 Medicine, Queen Alexandra Hospital, Portsmouth, UK


We report a case of Miller Fisher syndrome presenting in an ENT setting. The referral was made on the basis of worsening nasal regurgitation following Campylobacter jejuni enteritis. The aim of this report is not to add to the recorded instances of Miller Fisher syndrome, but to help raise the level of its awareness amongst otolaryngologists. Emphasis is placed on the mode of presentation and management issues, as early diagnosis is crucial and confers a favourable prognosis. In that respect, we consider this case noteworthy and instructive.

(Accepted October 20 2006)

(Online publication March 23 2007)


c1 Address for correspondence: Mr S J Davis, 106 Nibley Road, Shirehampton, Bristol BS11 9XW, UK. Fax: 0117 9595850 E-mail:


Mr S J Davis takes responsibility for the integrity of the content of the paper.

Competing interests: None declared