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Rev. Soc. Bras. Clín. Méd ; 18(2): 100-103, abril/jun 2020.
Article Dans Portugais | LILACS | ID: biblio-1361452

Résumé

A síndrome de Miller Fisher é uma desmielinização dos nervos cranianos e periféricos, gerando graves consequências para o paciente, como, por exemplo, redução ou ausência dos reflexos, paralisia do III, IV e VI nervos cranianos e ataxia. Este relato descreveu o caso de uma mulher de 51 anos, natural e procedente de Penápolis (SP), admitida em um hospital de Araçatuba (SP) com quadro de arreflexia, ataxia e oftalmoplegia. No contexto clínico, foi suspeitada a hipótese de síndrome de Miller Fisher e, assim, começou o processo de investigação, com base nos critérios diagnósticos. O caso foi diagnosticado como síndrome de Miller Fisher, e o tratamento teve início.


Miller Fisher Syndrome is a demyelinating disease affecting cranial and peripheral nerves, leading to severe problems to the patient, such as reduced or absent reflexes, III, IV and VI cranial nerves palsy, and ataxia. This report describes the case of a 51-year-old woman from the city of Penápolis, in the state of São Paulo, who was admitted to the hospital in the city of Araçatuba, in the same state, with ataxia, areflexia and ophthalmoplegia. In the clinical context, the suspicion of Miller Fisher Syndrome was raised, and then investigation ensued for the disease, based on the diagnostic criteria. After evaluation, Miller Fisher Syndrome was confirmed and treatment was started.


Sujets)
Humains , Femelle , Adulte d'âge moyen , Syndrome de Miller-Fisher/diagnostic , Maladies rares/diagnostic , Paresthésie/étiologie , Blépharoptose/étiologie , Pharyngite/complications , Plasmaphérèse , Syndrome de Miller-Fisher/complications , Syndrome de Miller-Fisher/liquide cérébrospinal , Syndrome de Miller-Fisher/rééducation et réadaptation , Paraparésie/étiologie
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