Chronic Demyelinating Inflammatory Polyradiculoneuropathy Associated With Sarcoidosis

A 60-year-old woman, with medical history of lung sarcoidosis diagnosed in 2003 treated by 40 mg prednisolone daily, was admitted in our neurological department in March 2011 for paresthesia and burning sensation in her two hands evolving for five months. Neurological examination revealed mild distal limb weakness, generalized hyporeflexia, impairment of touch, pain, and temperature sensations in both hands. Vibration sense was severely affected in the higher limbs, especially in the left side. Patient was ataxic with a positive Romberg’s sign.

Polyradiculoneuropathy
Polyradiculoneuropathy

Electrophysiological study demonstrated bilateral elongated distal latencies, reduced nerve conduction velocities, and conduction blocks respectively in the median, the ulnar and the peroneal nerves. It also objectified delayed F response in the median, the ulnar and the tibial nerves fulfilling the EFNS/PNS diagnostic criteria for CIDP.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s