Chronic Inflammatory Demyelinating Polyneuropathy Presenting With Headache and Papilledema

Chronic inflammatory demyelinating polyneuropathy is a disorder typified clinically by motor and sensory neuropathy of at least 2 months' duration and pathologically by multifocal inflammatory demyelination. Its usual presentation is with features reflecting the polyneuropathy, namely limb weak...

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Veröffentlicht in:Headache 1999-04, Vol.39 (4), p.299-300
Hauptverfasser: Morrison, Karen E., Davies, Paul T.G.
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creator Morrison, Karen E.
Davies, Paul T.G.
description Chronic inflammatory demyelinating polyneuropathy is a disorder typified clinically by motor and sensory neuropathy of at least 2 months' duration and pathologically by multifocal inflammatory demyelination. Its usual presentation is with features reflecting the polyneuropathy, namely limb weakness with hyporeflexia or areflexia and sensory symptoms of glove and stocking distribution. In this report, we detail the course of a 53‐year‐old man who presented to our neurological service with a severe headache in association with papilledema. The initial diagnosis considered was of possible primary intracranial pathology. Two months later, he developed limb weakness and sensory symptoms typical of chronic inflammatory demyelinating polyneuropathy. His headache, papilledema, and limb symptoms responded to oral corticosteroid therapy, the standard treatment for this type of neuropathy. We hypothesize that his headache and papilledema were due to the elevated cerebrospinal fluid protein level as a result of the polyneuropathy. To our knowledge, this is the first report of headache being a prominent and early symptom of this disorder.
doi_str_mv 10.1046/j.1526-4610.1999.3904299.x
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Olfaction</subject><subject>headache</subject><subject>Headache - diagnosis</subject><subject>Headache - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>papilledema</subject><subject>Papilledema - diagnosis</subject><subject>Papilledema - etiology</subject><subject>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - complications</subject><subject>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - diagnosis</subject><subject>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - drug therapy</subject><subject>Prednisolone - therapeutic use</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkV-L1DAUxYMo7rj6FaSILL50zG3a_PFtmV2dhQXnQRF8CWly63RI0zHp4Pbb2zrFfRN8uuTe37k3nEPIG6BroCV_f1hDVfC85HNDKbVmipbFVB-ekNXf0VOyohRELkUpL8iLlA6UTmrFn5MLqDiwopAr8n2zj31obXYXGm-6zgx9HLMb7Eb0bTBDG35ku96PAU-xP5phP2a7iAnDn8m3dthnWzTO2D1mJrhsZ46t9-iwMy_Js8b4hK-Wekm-frz9stnm958_3W2u73NbSqVycFCDYDVg5ZSy1oKoq0I4KEFKLCzwGioqneCMNc6xWjhhauTYyNpVTLJLcnXee4z9zxOmQXdtsui9CdifkhZUchDAJ_DdP8HJFQqsAlAT-uGM2tinFLHRx9h2Jo4aqJ5D0Ac9O61np_Ucgl5C0A-T-PVy51R36B6li-sT8HYBTLLGN9EE26ZHTvBKyhnbnLFfrcfxP36gt7fXN8uL_QYLzqSr</recordid><startdate>199904</startdate><enddate>199904</enddate><creator>Morrison, Karen E.</creator><creator>Davies, Paul T.G.</creator><general>American Association for the Study of Headache/Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>199904</creationdate><title>Chronic Inflammatory Demyelinating Polyneuropathy Presenting With Headache and Papilledema</title><author>Morrison, Karen E. ; Davies, Paul T.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4899-1d1b173b1e5d99ccc17b527d14188e2c16b1508d7633fdd3b7d7abe6ef8bd5383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>chronic inflammatory demyelinating polyneuropathy</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>headache</topic><topic>Headache - diagnosis</topic><topic>Headache - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>papilledema</topic><topic>Papilledema - diagnosis</topic><topic>Papilledema - etiology</topic><topic>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - complications</topic><topic>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - diagnosis</topic><topic>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - drug therapy</topic><topic>Prednisolone - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morrison, Karen E.</creatorcontrib><creatorcontrib>Davies, Paul T.G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morrison, Karen E.</au><au>Davies, Paul T.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Inflammatory Demyelinating Polyneuropathy Presenting With Headache and Papilledema</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>1999-04</date><risdate>1999</risdate><volume>39</volume><issue>4</issue><spage>299</spage><epage>300</epage><pages>299-300</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><coden>HEADAE</coden><abstract>Chronic inflammatory demyelinating polyneuropathy is a disorder typified clinically by motor and sensory neuropathy of at least 2 months' duration and pathologically by multifocal inflammatory demyelination. 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subjects Adrenal Cortex Hormones - therapeutic use
Biological and medical sciences
chronic inflammatory demyelinating polyneuropathy
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
headache
Headache - diagnosis
Headache - etiology
Humans
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
papilledema
Papilledema - diagnosis
Papilledema - etiology
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - complications
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - diagnosis
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - drug therapy
Prednisolone - therapeutic use
title Chronic Inflammatory Demyelinating Polyneuropathy Presenting With Headache and Papilledema
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