Diagnóstico de síndrome de Miller Fisher tras manifestaciones otorrinolaringológicas
[EN] Introduction and objectives: Miller-Fisher Syndrome is most frequent form of Gillain Barré syndrome. It has a characteristic tirade: Oftalmoplexia, ataxia and arreflexia. Material and metods: We present a 19 years old man who consults by an irritative pharyngitis , and develops in hours instabi...
| Autores: | , , , , |
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| Formato: | artículo |
| Fecha de publicación: | 2015 |
| País: | España |
| Recursos: | Universidad de Salamanca (USAL) |
| Repositorio: | GREDOS. Repositorio Institucional de la Universidad de Salamanca |
| OAI Identifier: | oai:gredos.usal.es:10366/125982 |
| Acesso em linha: | http://hdl.handle.net/10366/125982 |
| Access Level: | acceso abierto |
| Palavra-chave: | Otorrinolaringología Miller-Fisher 3299 otras especialidades medicas (Otorrinolaringología) |
| Resumo: | [EN] Introduction and objectives: Miller-Fisher Syndrome is most frequent form of Gillain Barré syndrome. It has a characteristic tirade: Oftalmoplexia, ataxia and arreflexia. Material and metods: We present a 19 years old man who consults by an irritative pharyngitis , and develops in hours instability, and an important dysphagia, ataxia and hiporreflexia. Explorating the presence of nystagmus we diagnosed a complete oftalmoplexia. 3 hours after a velopalatine palsy was objetivated and a vocal palsy leads to intubate the patient and ingrese at intensive care unit. Results: Antibody of antiglangliosidine antiGQ1b, showed by ELISA, confirm the diagnosys and leads to iniciate inmunoglobuline treatment. Patient recovers all motor funtions but during 3 months there was an intense dysphagia and diplopia. Discussion: These is an inflamatorial polirradiculopaty with an acute desmielinization. It has an immunological injury that generate antibody for mieline and leads to muscular fulminant palsy. Conclussion: A centripetal and axial-coronal evolution is the most frecuent comportation. In the acute period can compromise life if we don’t iniciate trheatment. A good large prognosis is the norme. |
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