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Subacute Inflammatory Demyelinating Polyneuropathy Combined with Optic Neuritis

机译:亚急性炎性脱髓鞘性多发性神经病合并视神经炎

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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.
机译:有时很难区分急性发作的慢性炎症性脱髓鞘性多发性神经病(A-CIDP)和亚急性炎症性脱髓鞘性多发性神经病(SIDP)。这些多发性神经病中枢神经系统的参与很少在文献中报道。我们介绍了一个42岁男子的案例,该男子迅速发展为炎症性脱髓鞘性多发性神经病,其次是右视神经炎。该病例显示进行性运动无力和感觉功能障碍,在8周时达到最低点,在神经传导研究中出现脱髓鞘,无其他神经病病因,在18个月的随访中无复发,对类固醇反应良好,完全康复,这更有利于SIDP。比A-CIDP我们经历了与视神经炎相关的SIDP病例。

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