Miller Fisher syndrome/acute motor axonal neuronopathy overlap an atypical manifestation of malaria: a case report


  • Khwaja Saifullah Zafar Department of Medicine, UPRIMS & R, Saifai, Etawah, Uttar Pradesh
  • P. S. Singh Department of Medicine, UPRIMS & R, Saifai, Etawah, Uttar Pradesh
  • Manoj Kumar Department of Medicine, UPRIMS & R, Saifai, Etawah, Uttar Pradesh


Malaria, Atypical manifestations, Miller Fisher syndrome, Acute motor axonal neuronopathy


Various types of neurological manifestations are described in P. falciparum/vivax malaria of which Guillian Barre syndrome and its variant like Miller Fisher Syndrome (MFS) and Acute Motor Axonal Neuronopathy (AMAN). We are reporting such an unusual case who presented with five days history of fever and weakness of three days duration. On investigations it turned out to be acute MFS/AMAN overlap with peripheral blood showing mixed infection having heavy parasitaemia of P. falciparum and P. vivax combine. All other causes of acute polyneuropathy were ruled out by history and relevant examination. Patient improved with Artemisinin based Combination Therapy (ACT) and other supportive measures.


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How to Cite

Zafar, K. S., Singh, P. S., & Kumar, M. (2017). Miller Fisher syndrome/acute motor axonal neuronopathy overlap an atypical manifestation of malaria: a case report. International Journal of Research in Medical Sciences, 3(1), 373–375. Retrieved from



Case Reports