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 |
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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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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.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1046/j.1526-4610.1999.3904299.x</identifier><identifier>PMID: 15613228</identifier><identifier>CODEN: HEADAE</identifier><language>eng</language><publisher>USA/Oxford, UK: American Association for the Study of Headache/Blackwell Science Ltd</publisher><subject>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</subject><ispartof>Headache, 1999-04, Vol.39 (4), p.299-300</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4899-1d1b173b1e5d99ccc17b527d14188e2c16b1508d7633fdd3b7d7abe6ef8bd5383</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1526-4610.1999.3904299.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1526-4610.1999.3904299.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1765888$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15613228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morrison, Karen E.</creatorcontrib><creatorcontrib>Davies, Paul T.G.</creatorcontrib><title>Chronic Inflammatory Demyelinating Polyneuropathy Presenting With Headache and Papilledema</title><title>Headache</title><addtitle>Headache</addtitle><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.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>chronic inflammatory demyelinating polyneuropathy</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. 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. 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.</abstract><cop>USA/Oxford, UK</cop><pub>American Association for the Study of Headache/Blackwell Science Ltd</pub><pmid>15613228</pmid><doi>10.1046/j.1526-4610.1999.3904299.x</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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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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