Incomplete Miller–Fisher Syndrome with Advanced Stage Burkit
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Paraneoplastic neurological syndromes (PNS) are rare disorders triggered by an altered immune system response to a neoplasm. They are defined as clinical syndromes involving non-metastatic systemic effects that accompany malignant disease. Small-cell lung cancer, breast cancer and ovarian cancer are the most frequent solid tumors associated wih PNS.There are some reports on the association of non-Hodgkin lymphoma and PNS, but Miller-Fisher Syndrome (MFS) is extremely rare. An 11-year-old boy who initially presented with headache, left ptosis, diplopia and weakness. Neurologic examination indicated left sided ptosis with ophthalmoplegia. Observations: Cerebral imaging and cerebrospinal fluid examinations were normal. Magnetic resonance imaging of the abdomen showed a mass lesion in the ileal loops. A bone marrow biopsy showed infiltration by Burkitt’s lymphoma....

http://www.indianpediatrics.net/may2017/may-413-415.htm
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