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다초점후천탈수초감각운동신경병 환자에서 발생한 편측혀밑신경병: 운동신경세포질환과 감별 진단

Unilateral Hypoglossal Neuropathy in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy: Differential Diagnosis of Motor Neuron Disease

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초록

Multifocal acquired demyelinating sensory and motor neuropathy (MADSAM) is a peripheral neuropathy characterized by multifocal weakness and associated sensory impairment. MADSAM is associated with multifocal persistent conduction block and other signs of demyelination. The incidence of cranial nerve involvement in MADSAM was recently reported to be approximately 15%. However, reports of hypoglossal neuropathy occurring in MADSAM are rare. Unilateral hypoglossal neuropathy in MADSAM is usually misdiagnosed as motor neuron disease. We report a patient with MADSAM presenting with tongue hemiatrophy

Abstract

Multifocal acquired demyelinating sensory and motor neuropathy (MADSAM) is a peripheral neuropathy characterized by multifocal weakness and associated sensory impairment. MADSAM is associated with multifocal persistent conduction block and other signs of demyelination. The incidence of cranial nerve involvement in MADSAM was recently reported to be approximately 15%. However, reports of hypoglossal neuropathy occurring in MADSAM are rare. Unilateral hypoglossal neuropathy in MADSAM is usually misdiagnosed as motor neuron disease. We report a patient with MADSAM presenting with tongue hemiatrophy

참고문헌 (10)

  1. Saperstein DS, "Multifocal acquired demyelinating sensory and motor neuropathy: the Lewis-Sumner syndrome", Muscle Nerve, 22, pp.560~566 (1999)[DOI]
  2. Verschueren A, "Lewis-Sumner syndrome and multifocal motor neuropathy", Muscle Nerve, 31, pp.88~94 (2005)[DOI]
  3. Viala K, "Follow-up study and response to treatment in 23 patients with Lewis-Sumner syndrome", Brain, 127, pp.2010~2017 (2004)[DOI]
  4. Bouchard C, "Clinicopathologic findings and prognosis of chronic inflammatory demyelinating polyneuropathy", Neurology, 52, pp.498~503 (1999)[DOI]
  5. Weiss MD, "Hypoglossal neuropathy in Lewis-Sumner syndrome masquerading as motor neuron disease", Neurology, 67, pp.175~176 (2006)[DOI]
  6. Susumu Ikenoshita, "Hemiatrophy of the Tongue with Contralateral Hemiparesis in a Patient with Multifocal Acquired Demyelinating Sensory and Motor Neuropathy", Journal of Clinical Neurology, 13(4), pp.422~423 (2017), 대한신경과학회[DOI]
  7. Jeanjean AP, "Massive peripheral nerve hypertrophy in a patient with multifocal upper limb demyelinating neuropathy (Lewis-Sumner syndrome)", Acta Neurol Belg, 101, pp.234~238 (2001)
  8. Lawson VH, "Multifocal motor neuropathy: a review of pathogenesis, diagnosis, and treatment", Neuropsychiatr Dis Treat, 10, pp.567~576 (2014)
  9. Reynolds J, "Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): clinical features, diagnosis, and current treatment strategies", R I Med J (2013), 99, pp.32~35 (2016)
  10. Rajabally YA, "Lewis-sumner syndrome of pure upper-limb onset: diagnostic, prognostic, and therapeutic features", Muscle Nerve, 39, pp.206~220 (2009)[DOI]

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