Reccurent Myelopolyradiculoneuritis or multiple sclerosis? (CROSBI ID 469917)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa
Podaci o odgovornosti
Debelić, Diana ; Sepčić, Juraj ; Willheim, Ksenija ; Jurjević, Anton ; Rudež, Josip
engleski
Reccurent Myelopolyradiculoneuritis or multiple sclerosis?
We report a woman who developed polyradiculoneuritis 5 weeks after an influenza vaccination. A second episode of polyradiculoneuritis asociated with a cervical myelitis appeared 3 months later, after a stress. She was succesfuly treated with plasmapheresis and human immunoglobulins. A recidive with identical clinical presentation reappeared 9 months after the onset of the disease. The patient showed good response to azathioprine 2.5 mg/kg. Cerebrospinal fluid analysis in each episode of the disease showed elevated protein content and moderate pleocitosis with the presence of plasmacytes, oligoclonal bends were present in the third exacerbation. Magnetic resonance imaging scans of the neuroaxis in both relapses demonstrated demyelinating lesion within cervical medula. Somatosensory evoked potentials showed abnormal responses. The motor and sensory nerve conduction study revealed reduced velocities. The nerve biopsy, n. Suralis, one year after the onset of the disease, showed fiber demyelination associated with the signs of remyelination. Two years later the patient suffered mild parestesias of the left leg. The patient has been almost blind on the right eye due to reccurent uveitis in the youth.
Myelitis; Polyradiculoneuritis; Multiple sclerosis
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Podaci o prilogu
317-x.
1998.
nije evidentirano
objavljeno
Podaci o matičnoj publikaciji
Multiple sclerosis Clinical and Laboratory Research
Allen, Ingrid V.
Avenel (NJ): Stockton press
Podaci o skupu
ECTRIMS 98 14th Congress of the European Committee for Treatment and Research in Multiple Sclerosis
poster
09.09.1998-12.09.1998
Stockholm, Švedska