RESUMEN
In this review, we discuss chronic inflammatory demyelinating polyneuropathy (CIDP), which is a disease with proximal and distal weakness and sensory disturbances resulting in impaired daily activity. The diagnosis is based on the clinical presentation and electrophysiology demonstrating demyelination in the peripheral nerves. CIDP can be successfully treated with immunoglobulin, glucocorticoids or plasma exchange, and during the latest decade, immunoglobulin has been administered subcutaneously improving patients' flexibility and autonomy. By time, 30% of the patients will remit, and maintenance treatment will no longer be necessary.
Asunto(s)
Polirradiculoneuropatía Crónica Inflamatoria Desmielinizante , Humanos , Nervios Periféricos , Polirradiculoneuropatía Crónica Inflamatoria Desmielinizante/diagnóstico , Polirradiculoneuropatía Crónica Inflamatoria Desmielinizante/tratamiento farmacológico , Trastornos de la SensaciónRESUMEN
We report a case of Guillain Barré syndrome presenting with a unilateral internal ophthalmoplegia and unilateral minor sensory impairment, followed by respiratory failure, missing reflexes, tetraparesis and bilateral facial weakness. All symptoms responded to immunoglobulin. The diagnosis was confirmed by cerebrospinal fluid analysis and electroneurography. This case was especially unusual because the pupil abnormality was unilateral and appeared prior to motor impairment.