RT Journal Article SR Electronic T1 MR Imaging Findings of Spinal Posterior Column Involvement in a Case of Miller Fisher Syndrome JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 645 OP 648 VO 25 IS 4 A1 Inoue, Nobuhiro A1 Ichimura, Homare A1 Goto, Satoshi A1 Hashimoto, Yoichiro A1 Ushio, Yukitaka YR 2004 UL http://www.ajnr.org/content/25/4/645.abstract AB Summary: The site of lesions causing ataxia in Miller Fisher syndrome (MFS) remains in dispute. A 43-year-old man manifested rapidly progressive left-sided ptosis, bilateral abducens palsy, areflexia, and severe ataxia. Initial MR imaging showed confined lesions of the cauda equina with gadolinium enhancement. A diagnosis of MFS was made, and the patient underwent immunotherapy. His ophthalmoplegia disappeared, but other symptoms remained. Five months after onset, MR imaging disclosed lesions confined to the spinal posterior column, which were considered to result from involvement of posterior nerve roots of the cauda equina and to be responsible for his remaining severe ataxia.