Facial nerve palsy with chronic inflammatory demyelinating polyneuropathy

ABSTRACT

Chronic inflammatory demyelinating polyneuropathy is an autoimmune disease characterized by progressive symmetrical motor and sensory dysfunction. There is a known association of chronic demyelinating polyneuropathy with diabetes mellitus. Cranial nerve palsies are also reported with CIDP. Here we are going to present a case of 40 years old diabetic who presented to us with progressive parapresis and left facial nerve palsy which subsequently turned out to be a case of CIDP on CSF examination and nerve conduction studies. We started oral steroids and Azathioprine to the patient and he showed dramatic response to steroids