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Nerve Ultrasound Protocol to Detect Dysimmune Neuropathies
Published on: October 7, 2021
Bladder and bowel dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy
Kazuhiro Ishii1, Akira Tamaoka, Youshi Fujita
1Department of Neurology, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Ten'noudai, Tsukuba-shi, Ibaraki-ken, 305-8575, Japan.
Abstract:
We present a patient with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) who developed severe bladder and bowel dysfunction (BBD) as evidenced by constipation, voiding difficulty, and urinary urgency. These symptoms appeared 10 years after onset of CIDP. Cystometry showed disturbance of bladder sensation and detrusor areflexia. Magnetic resonance imaging (MRI) showed greatly enlarged nerve roots filling the lumbosacral spinal canal; this appeared to be the likely cause of BBD. A 3-day course of intravenous methylprednisolone (1 g/day), followed by 30 mg/day of oral prednisolone, ameliorated the sensory disturbance and muscle weakness, but not BBD.
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