Non-systemic Vasculitic Neuropathy Presenting as Ascending Paralysis
Journal of the Korean Geriatrics Society
;
: 56-61, 1999.
Artículo
en Coreano
| WPRIM
| ID: wpr-78936
ABSTRACT
Typical vasculitic neuropathy commonly manifests as a subacute multiple mononeuropathy, symmetrical or asymmetrical sensori-motor polyneuropathy. Various clinical presentations of peripheral neuropathy may confuse the diagnostic approach sometimes. A 76-year old man presented progressive areflexic ascending paralysis. gait ataxia, severe vibration and position sense impairment for 1 month. We initially considered as subacute demyelinating polyneuropathy. Electrophysiologic studies showed mainly axonopathy with some evidence of demyelination. We performed sural nerve biopsy and diagnosed as vasculitic neuropathy. No laboratory data or clinical findings favored systemic vasculitic involvement. So we concluded vasculitis confined to the peripheral nerves. Vasculitic neuropathy rarely presented as large myelinated nerve fiber disease. It should be considered the clinical variability of vasculitic neuropathy so extensive studies are needed in the case of peripheral polyneuropathy with indefinite cause.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Parálisis
/
Nervios Periféricos
/
Polineuropatías
/
Propiocepción
/
Nervio Sural
/
Vasculitis
/
Vibración
/
Biopsia
/
Enfermedades Desmielinizantes
/
Enfermedades del Sistema Nervioso Periférico
Límite:
Anciano
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Geriatrics Society
Año:
1999
Tipo del documento:
Artículo
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