Chronic inflammatory demyelinating polyradiculoneuropathy A case report

Rationale: Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a disorder characterized by a symmetrical, sensorimotor involvement and slowly progressive onset peripheral neuropathy. Peripheral neuropathies have been reported in some central demyelination patients. However, the central nervous system focus in the CIDP patient can mimic neuromyelitis optica have not been recognized by most of us. Patient concerns: The numbness and weakness of limbs about eight weeks. Diagnoses: Chronic inflammatory demyelinating polyradiculoneuropathy. Interventions: Immunotherapy with intravenous immunoglobulins was applied to this patient. Outcomes: After 1 year follow-up, the results showed there was still slight numbness of all limbs, and he could walk slowly without help. Gastrocnemius muscle atrophy did not aggravate. Lessons: So It is suggest that CIDP can combine with central lesions mimicking neuromyelitis optica. We should take the diagnosis of CIDP into consideration when we find focus in central nervous system.