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Extreme Hypertrophy of Peripheral Neuronal Structures in CIDP – a Case Study


Authors: J. Michalik 1;  E. Kurča 1;  M. Hladká 2;  B. Hofericová 1;  V. Nosáľ 1;  M. Grofik 1;  E. Kantorová 1;  M. Adámková 1
Authors place of work: JLF UK a UN Martin Neurologická klinika 1;  JLF UK a UN Martin Rádiologická klinika 2
Published in the journal: Cesk Slov Neurol N 2011; 74/107(1): 72-75
Category: Case Report

Summary

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an autoimmune peripheral nerve disease characterized by flaccid quadriparesis with loss of sensitivity and possible damage to cranial nerves. The diagnosis of CIDP nay involve electromyography (EMG), cerebrospinal fluid analysis, nerve biopsy, magnetic resonance imaging (MRI) of peripheral nerves and the clinical response to immunosuppression and/or immunomodulation. MRI facilitates early detection of nerve hypertrophy. In our case report we present an unusual CIDP with extreme hypertrophy of the peripheral nerves and spinal roots.

Key words:
chronic inflammatory demyelinating polyradiculoneuropathy – hypertrophy – magnetic resonance imaging


Zdroje

1. Hughes RA, Bouche P, Cornblath DR, Evers E, Hadden RD, Hahn A et al. EFNS/PNS guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy: report of a joint task force of the EFNS and the PNS. Eur J Neurol 2006; 13(4): 326–332.

2. Matsuoka N, Kohriyama T, Ochi K, Nishitani M, Sueda Y, Mimori Y et al. Detection of cervical nerve root hypertrophy by ultrasonography in chronic inflammatory demyelinating polyradiculoneuropathy. J Neurol Sci 2004; 219(1–2): 15–21.

3. Ishida K, Wada Y, Tsunemi T, Kanda T, Mizusawa H. Marked hypertrophy of the cauda equina in a patient with chronic inflammatory demyelinating polyradiculoneuropathy presenting as lumbar stenosis. J Neurol 2005; 252(2): 239–240.

4. Freitas MR, Nascimento OJ, Soares CN, Brito AR, Domingues RC. Chronic inflammatory demyelinating polyradiculoneuropathy: two cases with cervical spinal cord compression. Arq Neuropsiquiatr 2005; 63(3): 666–669.

5. Kretzer RM, Burger PC, Tamargo RJ. Hypertrophic neuropathy of the cauda equina: case report. Neurosurgery 2004; 54(2): 515–518.

6. Tazawa K, Matsuda M, Yoshida T, Shimojima Y, GonoT, Morita H et al. Spinal nerve root hypertrophy on MRI: clinical significance in the diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy. Intern Med 2008; 47(23): 2019–2024.

7. Van den Bergh PY, Hadden RD, Bouche P, Cornblath DR,Hahn A, Illa I et al. European Federation of Neurological Societies/Peripheral Nerve Society Guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy: report of a joint task force of the European Federation of Neurological Societies and the Peripheral Nerve Society – first revision. Eur J Neurol 2010; 17(3): 356–363.

Štítky
Paediatric neurology Neurosurgery Neurology

Článok vyšiel v časopise

Czech and Slovak Neurology and Neurosurgery


2011 Číslo 1
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