I know this is an old thread, but I wanted to say that I had Miller Fisher Syndrome in 2008. My MFS was not typical in that the first things I had were numbness/tingling/altered sensation in my feet then my hands followed by difficulty speaking. Next came the ophthalmoplegia and double vision, finally balance and walking problems. I had a lumbar puncture but was never given the results. I guess I had atypical MFS!