Chronic inflammatory demyelinating polyneuropathy with tongue fasciculation: A case report.

Autor: Roberto KT; Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila 1000, Philippines. Electronic address: ktroberto@up.edu.ph., Antonio AKD; Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila 1000, Philippines., Fernandez MLL; Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila 1000, Philippines., Damian LF; Institute for Neurosciences, St. Luke's Medical Center, Bonifacio Global City, Taguig City, Taguig 1624, Philippines.
Jazyk: angličtina
Zdroj: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2020 Jan; Vol. 71, pp. 297-299. Date of Electronic Publication: 2019 Aug 30.
DOI: 10.1016/j.jocn.2019.08.081
Abstrakt: Chronic inflammatory demyelinating polyneuropathy is one of the immune-mediated polyneuropathies responsive to immunotherapy. Its usual clinical presentation is a chronic course of symmetric sensorimotor affectation of both proximal and distal extremities with signs of demyelination on electrophysiologic studies. Cranial nerve signs in this condition is not commonly encountered, particularly involvement of the hypoglossal nerve. To date, there are only three published cases of hypoglossal involvement in this condition. This case report presents a patient with tongue fasciculation, which is an uncommon finding in chronic inflammatory demyelinating polyneuropathy. This paper highlights the importance of considering chronic inflammatory demyelinating polyneuropathy in the differential diagnoses of a patient with tongue fasciculation as it has been found to be responsive to immunotherapy in comparison to other lower motor neuron syndromes.
Competing Interests: Declaration of Competing Interest The authors declare that there is no conflict of interest regarding the publication of this article.
(Copyright © 2019 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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