Concurrent transverse myelitis and acute inflammatory demyelinating polyneuropathy

被引:0
|
作者
Shrimpton, Matthew [1 ]
Shaw, Cameron [1 ]
机构
[1] Barwon Hlth, Neurol Dept, Geelong, Vic, Australia
关键词
neurology; clinical neurophysiology; peripheral nerve disease; spinal cord; GUILLAIN-BARRE; CLINICAL-FEATURES;
D O I
10.1136/bcr-2024-259732
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A woman in her 40s presented with thoracic banding dysaesthesia and lower motor neuron weakness. Spinal imaging revealed a short segment of transverse myelitis and neurophysiology was suggestive of concurrent acute inflammatory demyelinating polyneuropathy. The patient improved with consecutive intravenous immunoglobulin and methylprednisolone treatment. Acute inflammatory demyelinating polyneuropathy is a progressive immune-mediated peripheral neuropathy which responds to intravenous immunoglobulin or plasmapheresis, whereas transverse myelitis is a central inflammatory syndrome usually treated with corticosteroid. We highlight differentiating features of the clinical presentation and the utility of investigations such as neurophysiology and MRI along with a review of treatment and the role for corticosteroid therapy.
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页数:4
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