“…The letter by Shoamanesh [1] commenting on our article entitled ''Miller-Fisher syndrome following vaccination against influenza virus A/H1N1 in an AIDS patient'' [2] focuses on the mechanism underlying the pathogenesis of post-vaccination Miller-Fisher syndrome (MFS). The clinical spectrum of the neurological complications following seasonal and pandemic influenza vaccinations ranges from central nervous system demyelinating disorders, such as acute encephalomyelitis [3] and transverse myelitis [4], to peripheral nervous system demyelinating disorders, such as Guillain-Barré syndrome [5], as well as MFS [2,6,7].…”