ABSTRACT
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.
Subject(s)
Humans , Female , Middle Aged , Miller Fisher Syndrome/diagnosis , Rare Diseases/diagnosis , Paresthesia/etiology , Blepharoptosis/etiology , Pharyngitis/complications , Plasmapheresis , Miller Fisher Syndrome/complications , Miller Fisher Syndrome/cerebrospinal fluid , Miller Fisher Syndrome/rehabilitation , Paraparesis/etiologyABSTRACT
Antecedentes y objetivos: El síndrome de Miller-Fisher se define como una enfermedad monofásica aguda con la tríada clínica de oftalmoplejía, ataxia y arreflexia. El objetivo de este estudio es abordar desde la fisioterapia el caso de un niño con síndrome de Miller-Fisher sin degeneración axonal. Descripción del caso: Se presenta el caso de un niño de 5 años con síndrome de Miller-Fisher tras una infección respiratoria. Intervención: El estudio se realizó durante 5 semanas, divididas en una primera fase de extensión y meseta del síndrome y una segunda fase de recuperación. Se actúa sobre la fuerza muscular, la propiocepción, el equilibrio y la reeducación de la marcha. Resultados: Tras la intervención, se evidencia una mejora de la fuerza muscular, de la fatiga, del equilibrio y la coordinación, y se consigue una marcha más funcional. Discusión: La evolución del niño tras el tratamiento de fisioterapia ha sido muy favorable en un corto periodo de tiempo. Según los resultados obtenidos, podemos concluir que la fisioterapia ha sido indispensable en la recuperación funcional de nuestro paciente
Background and purpose: Miller-Fisher syndrome is an acute monophasic disease with clinical triad of ophthalmoplegia, ataxia and areflexia. The objective of this study is to report a physiotherapy approach to the treatment of a patient with Miller-Fisher syndrome without axonal degeneration. Case description: The case of a 5-year-old child with a Miller-Fisher syndrome after a respiratory infection is reported. Intervention: The study was conducted for 5 weeks, with an initial onset and plateau phase and a subsequent recovery phase. Areas worked on included muscle strength, propioception, balance, and gait reeducation. Results: Patient outcomes after the intervention demonstrated an improvement in muscle strength, fatigue, balance, and coordination, achieving a more functional gait. Discussion: The child's progress after physiotherapy treatment has been very favorable in a short period of time. According to the results, we can conclude that physiotherapy has been essential in our patient functional recovery
Subject(s)
Humans , Male , Child, Preschool , Miller Fisher Syndrome/rehabilitation , Physical Therapy Modalities , Gait Disorders, Neurologic/rehabilitation , Muscular Disorders, Atrophic/rehabilitation , Muscle Fatigue/physiology , Ataxia/rehabilitation , Treatment Outcome , Polyradiculoneuropathy/rehabilitationABSTRACT
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