Diagnóstico de síndrome de Miller Fisher tras manifestaciones otorrinolaringológicas

  1. Pablo Santos Gorjón
  2. Elena Sánchez Terradillos
  3. Eva María Mingo Sánchez
  4. Juan Luis Sánchez-Jara Sánchez
  5. Gonzalo Martín Hernández
Revista:
Revista ORL

ISSN: 2444-7986,  2444-7986

Any de publicació: 2015

Volum: 6

Pàgines: 149-153

Tipus: Article

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Altres publicacions en: Revista ORL

Resum

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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