Oculomotor nerve palsy, an unusual onset of polyarteritis nodosa.

Autor:	Martins A; Rheumatology Department, Centro Hospitalar Universitário São João, Porto, Portugal.; Medicine Department, Faculty of Medicine, University of Porto, Portugal., Pinheiro FO; Rheumatology Department, Centro Hospitalar Universitário São João, Porto, Portugal.; Medicine Department, Faculty of Medicine, University of Porto, Portugal., Vedor S; Neuroradiology Department, Centro Hospitalar Universitário São João, Porto, Portugal., Oliveira D; Rheumatology Department, Centro Hospitalar Universitário São João, Porto, Portugal.; Medicine Department, Faculty of Medicine, University of Porto, Portugal.; Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Portugal., Seabra Rato M; Rheumatology Department, Centro Hospitalar Universitário São João, Porto, Portugal.; Medicine Department, Faculty of Medicine, University of Porto, Portugal., Fonseca D; Rheumatology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Gaia, Portugal., Madureira P; Rheumatology Department, Centro Hospitalar Universitário São João, Porto, Portugal., Braz L; Neurology Department, Centro Hospitalar Universitário São João, Porto, Portugal., Pimenta S; Rheumatology Department, Centro Hospitalar Universitário São João, Porto, Portugal.; Medicine Department, Faculty of Medicine, University of Porto, Portugal., Costa L; Rheumatology Department, Centro Hospitalar Universitário São João, Porto, Portugal.
Jazyk:	angličtina
Zdroj:	Reumatologia [Reumatologia] 2023; Vol. 61 (1), pp. 71-77. Date of Electronic Publication: 2023 Mar 08.
DOI:	10.5114/reum/161085
Abstrakt:	Introduction: Cranial nerve involvement in polyarteritis nodosa(PAN) is underrecognized and rarely reported. The aim of this article is to review the available literature and present an example of oculomotor nerve palsy in the course of PAN. Material and Methods: Evaluation of texts describing the analyzed problem using the terms "polyarteritis nodosa", "nerve", "oculomotor", "cranial nerve" and "cranial neuropathy" for searching the PubMed database was done. Only full-text articles in English language with titles and abstracts were included in the analysis. As a guideline for the analysis of articles, the methodology described in the Principles of Individual Patient Data systematic reviews (PRISMA-IPD) was used. Results: After screening articles only 16 reported cases of PAN with cranial neuropathy were included in the analysis. In 10 the cranial neuropathy was reported as the initial manifestation of PAN with optic nerve involvement as the most frequent (62.5%); among these cases the oculomotor nerve was involved in 3 cases. Treatment with glucocorticosteroids and cyclophosphamide was the most common. Conclusions: Although cranial neuropathy, especially oculomotor nerve palsy is a rare first neurological manifestation of PAN, this clinical problem should be considered in the differential diagnosis.Especially patients with peripheral neuropathy, general symptoms, skin lesions and hepatitis B virus infection should be evaluated for cranial nerve involvement in the course of vasculitis.In the case of unclear involvement of the cranial nerves, PAN should also be considered in the differential diagnosis as the cause of symptoms and the first manifestation of the disease. Competing Interests: The authors declare no conflict of interest. (Copyright: © 2023 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie.)
Databáze:	MEDLINE
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