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Revista de Ciencias Médicas de Pinar del Río
versión On-line ISSN 1561-3194
Resumen
ZALDIVAR RODRIGUEZ, Juan Manuel et al. Miller Fisher syndrome. A case report. Rev Ciencias Médicas [online]. 2011, vol.15, n.2, pp. 261-268. ISSN 1561-3194.
Miller Fisher syndrome is a clinical variant of Guillain-Barré syndrome it is characterized by ophthalmoplegia, areflexia and ataxia. A six-year old female patient attended to "Pepe Portilla" Children Hospital, Pinar del Rio in November 2010; with past health records, who 5 days before the onset of the disorder suffered from an acute upper respiratory infection that was followed by a picture of buccopharyngeal and facial weakness, ataxia and acute muscular debility of the limbs. A referral to Neurology service verified peripheral facial diplegia, paralysis of the IV left pair, ataxia and hyporeflexia; several examinations were performed before admitting her to the Intensive Care Unit (ICU) with the diagnosis of Miller Fisher syndrome. The therapeutic treatment included intacglobin and vitamins, achieving a satisfactory progress; the patient was discharged from the ICU 10 days after her admission with a total regression of the clinical picture.
Palabras clave : Miller Fisher Syndrome (MFS) [complications]; Gillain-Barré Syndrome (GBS) [diagnosis]; infection; evolution.