LONG-LASTING CRANIAL NERVE III PALSY AS A PRESENTING FEATURE OF CHRONIC INFLAMMATORY DEMYELINATING POLYNEUROPATHY

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Abstract

We describe a patient with chronic inflammatory demyelinating polyneuropathy (CIDP) in which an adduction deficit and ptosis inthe left eye presented several years before the polyneuropathy. A 52-year-old man presented with a 14-year history of unremittingdiplopia, adduction deficit, and ptosis in the left eye. At the age of 45 a mild bilateral foot drop and impaired sensation in thefour limbs appeared, with these symptoms showing a progressive course. The diagnostic workup included EMG/ENG whichdemonstrated reduced conduction velocity with bilateral and symmetrical sensory and motor involvement. Cerebrospinal fluidstudies revealed a cytoalbuminologic dissociation.Aprolonged treatment with corticosteroids allowed a significant improvement ofthe limbweakness. Diplopia and ptosis remained unchanged.This unusual formof CIDP presented as a long-lasting isolated cranialnerve palsy. A diagnostic workup for CIDP should therefore be performed in those patients in which an isolated and unremittingcranial nerve palsy cannot be explained by common causes.
Lingua originaleEnglish
pagine (da-a)1-3
Numero di pagine3
RivistaCASE REPORTS IN MEDICINE
Volume1/2015
Stato di pubblicazionePublished - 2015

All Science Journal Classification (ASJC) codes

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