RT Journal Article
SR Electronic
T1 CIDP presenting as recurrent severe back pain without weakness or sensory loss
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP 488
OP 492
DO 10.1136/practneurol-2016-001397
VO 16
IS 6
A1 Dirk Bäumer
A1 David James Grant
A1 Ravi Knight
A1 Camilla Buckley
A1 David Bennett
A1 Simon Rinaldi
YR 2016
UL http://pn.bmj.com/content/16/6/488.abstract
AB A 71-year-old woman presented with severe back pain, limb weakness and cranial nerve dysfunction associated with high cerebrospinal fluid (CSF) protein; we diagnosed Guillain-Barré syndrome and her symptoms completely resolved after intravenous immunoglobulin. Over the next 4 years, she had three further episodes of excruciating back pain accompanied by raised CSF protein, but without weakness, sensory loss, or abnormalities in routine nerve conduction studies. Sensory evoked potentials suggested proximal demyelination and lumbosacral plexus imaging suggested inflammation. We argue that this is a relapsing proximal polyradiculoneuropathy on the spectrum of chronic inflammatory demyelinating polyradiculoneuropathy.