Naslov
Reccurent Myelopolyradiculoneuritis or multiple sclerosis?

Autori
Debelić, Diana ; Sepčić, Juraj ; Willheim, Ksenija ; Jurjević, Anton ; Rudež, Josip

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Multiple sclerosis Clinical and Laboratory Research / Allen, Ingrid V. - Avenel (NJ) : Stockton press, 1998

Skup
ECTRIMS 98 14th Congress of the European Committee for Treatment and Research in Multiple Sclerosis

Mjesto i datum
Stockholm, Švedska, 09.09.1998. - 12.09.1998

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
Myelitis; Polyradiculoneuritis; Multiple sclerosis

Sažetak
We report a woman who developed polyradiculoneuritis 5 weeks after an influenza vaccination. A second episode of polyradiculoneuritis asociated with a cervical myelitis appeared 3 months later, after a stress. She was succesfuly treated with plasmapheresis and human immunoglobulins. A recidive with identical clinical presentation reappeared 9 months after the onset of the disease. The patient showed good response to azathioprine 2.5 mg/kg. Cerebrospinal fluid analysis in each episode of the disease showed elevated protein content and moderate pleocitosis with the presence of plasmacytes, oligoclonal bends were present in the third exacerbation. Magnetic resonance imaging scans of the neuroaxis in both relapses demonstrated demyelinating lesion within cervical medula. Somatosensory evoked potentials showed abnormal responses. The motor and sensory nerve conduction study revealed reduced velocities. The nerve biopsy, n. Suralis, one year after the onset of the disease, showed fiber demyelination associated with the signs of remyelination. Two years later the patient suffered mild parestesias of the left leg. The patient has been almost blind on the right eye due to reccurent uveitis in the youth.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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