Intervenciones de enfermería en el síndrome de miller fisher

Abstract

Introduction: Miller-Fisher syndrome (MFS) is a clinically diverse disease, relatively symmetrical, involving both motor and sensory functions, with either a single-phase or recurrent progression. Objectives: To describe the prevalence, risk factors, complications, therapeutic approach, and nursing interventions in patients with DMF. Methodology: A literature review was conducted in databases such as PubMed, Scopus, ProQuest, Redalyc, SciELO, Web of Science, and Taylor & Francis. Boolean operators (AND and OR) were used in the respective search equations as a search strategy. Results: The most significant findings revealed that the prevalence is high in East Asia, with an 87.5% positive diagnosis rate; in Ecuador, 185 cases were reported in 2012; in Chile, the prevalence ranges from 1.1 to 1.8 cases per 100,000 people, and in Colombia, it varies between 1% and 5%. Risk factors include pregnancy, potential associations with COVID-19 vaccination, and upper respiratory tract infections, particularly with Campylobacter jejuni. Complications range from respiratory and neurological difficulties, such as cranial nerve paralysis and speech problems. The treatment involves diagnostic imaging techniques, intravenous immunoglobulin (IVIg), plasmapheresis, and steroids such as methylprednisolone. Nursing interventions encompass vital signs monitoring, specialized care, and rehabilitation. Conclusion: The percentage varies according to the geographical area and gender, taking a multidisciplinary approach to treating this complex condition. The implementation of intensive physiotherapy with comprehensive rehabilitation care coordination is crucial for improving the patient's clinical outcomes. Keywords: Miller Fisher Syndrome, prevalence, risk factors, ophthalmoplegia syndrome, nursing care.