시신경염이 동반된 아급성염증탈수초다발신경병
Subacute Inflammatory Demyelinating Polyneuropathy Combined with Optic Neuritis
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It was sometimes difficult to differentiate between acute-onset chronic inflammatory demyelinating polyneuropathy (A-CIDP) and subacute inflammatory demyelinating polyneuropathy (SIDP). The CNS involvement of these polyneuropathies has rarely reported in the literature. We present the case of a 42-year-old man who developed rapidly developing inflammatory demyelinating polyneuropathy followed by right optic neuritis. This case showed progressive motor weakness and sensory dysfunction with time to nadir at 8 weeks, demyelination in nerve conduction study, no other etiology of neuropathy, no relapse during follow-up of 18 months, good response to steroid and complete recovery which favor SIDP more than A-CIDP. We experienced the case of SIDP associated with optic neuritis.
Abstract
It was sometimes difficult to differentiate between acute-onset chronic inflammatory demyelinating polyneuropathy (A-CIDP) and subacute inflammatory demyelinating polyneuropathy (SIDP). The CNS involvement of these polyneuropathies has rarely reported in the literature. We present the case of a 42-year-old man who developed rapidly developing inflammatory demyelinating polyneuropathy followed by right optic neuritis. This case showed progressive motor weakness and sensory dysfunction with time to nadir at 8 weeks, demyelination in nerve conduction study, no other etiology of neuropathy, no relapse during follow-up of 18 months, good response to steroid and complete recovery which favor SIDP more than A-CIDP. We experienced the case of SIDP associated with optic neuritis.
참고문헌 (10)
- Oh SJ, "Subacute inflammatory demyelinating polyneuropathy", Neurology, 61, pp.1507~1512 (2003)
- Laura M, "Chronic inflammatory demyelinating polyradiculoneuropathy: MRI study of brain and spinal cord", Neurology, 64, pp.914~916 (2005)
- Stojkovic T, "Visual evoked potentials study in chronic idiopathic inflammatory demyelinating polyneuropathy", Clin Neurophysiol, 111, pp.2285~2291 (2000)
- Gartzen K, "Peripheral nervous system involvement in multiple sclerosis", Eur J Neurol, 18, pp.789~791 (2011)
- Misawa S, "Peripheral nerve demyelination in multiple sclerosis", Clin Neurophysiol, 119, pp.1829~1833 (2008)
- Holtkamp M, "Chronic inflammatory demyelinating polyradiculoneuropathy with histologically proven optic neuritis", Acta Neuropathol, 101, pp.529~531 (2001)
- Berger T, "Experimental autoimmune encephalomyelitis: the antigen specificity of T lymphocytes determines the topography of lesions in the central and peripheral nervous system", Lab Invest, 76, pp.355~364 (1997)
- Ruts L, "Distinguishing acute-onset CIDP from fluctuating Guillain-Barre syndrome: a prospective study", Neurology, 74, pp.1680~1686 (2010)
- Chowdhury D, "Axonal Guillain-Barre syndrome: a critical review", Acta Neurol Scand, 103, pp.267~277 (2001)
- Kim DH, "Guillain-Barre syndromes accompanied by optic neuritis", J Korean Neurol Assoc, 15, pp.1199~1202 (1997)
