Hydrocephalus due to marked enlargement of spinal roots in a patient with chronic inflammatory demyelinating polyradiculoneuropathy
| Autor: | Norito Kokubun, Koichi Hirata, Keisuke Suzuki, Akio Iwasaki, Kei Funakoshi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pathology
medicine.medical_specialty Nerve root Neurological examination Lumbar medicine Humans Papilledema Aged Plexus medicine.diagnostic_test business.industry Cauda equina Polyradiculoneuropathy Hypertrophy medicine.disease Magnetic Resonance Imaging Hydrocephalus medicine.anatomical_structure Neurology Polyradiculoneuropathy Chronic Inflammatory Demyelinating Female Neurology (clinical) medicine.symptom business Spinal Nerve Roots |
| Zdroj: | European journal of neurologyReferences. 27(11) |
| ISSN: | 1468-1331 |
| Popis: | Background Hydrocephalus or papilledema has rarely been reported in patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Methods We report a 65-year-old woman with a 12-year history of CIDP presenting with progressive dementia, hallucination and deterioration of gait. Results Neurological examination revealed cognitive impairment, symmetric proximal and distal weakness with areflexia and muscle atrophy in the distal four limbs. The cerebrospinal fluid examination showed marked elevation of protein concentration. Magnetic resonance imaging revealed hydrocephalus and marked enlarged cervical and lumbar roots and plexus. The cervical cord and cauda equina were compressed by the swollen roots. A ventriculoperitoneal shunt resulted in reduction of the ventricles size along with improvement of her cognitive impairment. Conclusion In our patient with CIDP, hydrocephalus was likely caused by hypertrophic nerve roots. Our findings suggest that CIDP patients with pronounced hypertrophic nerve roots require careful observation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text