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- Title
Long-Lasting Cranial Nerve III Palsy as a Presenting Feature of Chronic Inflammatory Demyelinating Polyneuropathy.
- Authors
Spataro, Rossella; La Bella, Vincenzo
- Abstract
We describe a patient with chronic inflammatory demyelinating polyneuropathy (CIDP) in which an adduction deficit and ptosis in the left eye presented several years before the polyneuropathy. A 52-year-old man presented with a 14-year history of unremitting diplopia, adduction deficit, and ptosis in the left eye. At the age of 45 a mild bilateral foot drop and impaired sensation in the four limbs appeared, with these symptoms showing a progressive course. The diagnostic workup included EMG/ENG which demonstrated reduced conduction velocity with bilateral and symmetrical sensory and motor involvement. Cerebrospinal fluid studies revealed a cytoalbuminologic dissociation. A prolonged treatment with corticosteroids allowed a significant improvement of the limb weakness. Diplopia and ptosis remained unchanged. This unusual form of CIDP presented as a long-lasting isolated cranial nerve palsy. A diagnostic workup for CIDP should therefore be performed in those patients in which an isolated and unremitting cranial nerve palsy cannot be explained by common causes.
- Subjects
POLYNEUROPATHIES; DIPLOPIA; ELECTROMYOGRAPHY; QUADRIPLEGIA; CEREBROSPINAL fluid examination; HORMONE therapy; ADRENOCORTICAL hormones; DIAGNOSIS; THERAPEUTICS
- Publication
Case Reports in Medicine, 2015, Vol 2015, p1
- ISSN
1687-9627
- Publication type
Article
- DOI
10.1155/2015/769429