A case of recurrent idiopathic ophthalmoplegic neuropathy (Miller Fisher syndrome)

cision provided good results. Recently, Schiffer and Till8 reported a 3-year-old child with awkward movements of the hands and hyperreflexia who had a haemangioma with a fistulous opening and spina bifida at C3 level. Surgical exploration revealed an intradural dermoid, and later progress was also quite good. Clinical signs and symptoms in the case reported here do not differ significantly from those presented by the other children with cervical dermoids. A most striking fact were the episodes of ryth- mic movements of the neck, which might be due to sensations of pain or paraesthesia secondary to compression of the spinal dorsal roots. Although the clinical presentation of the cervical spinal dermoids is similar to any other expansive lesion in the same situ- ation, the frequent presence of skin abnor- malities and dysraphic signs strongly suggest the diagnosis. Treatment is always surgical, and the development of the few children re- ported appears to be excellent.