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Published on: November 9, 2017
Hyperpyrexia-triggered relapses in an unusual case of ataxic chronic inflammatory demyelinating
S Mazzucco1, S Ferrari, C Mezzina
1Department of Neurological Sciences and Vision, Section of Clinical Neurology, University of Verona, Policlinico "G.B. Rossi", Piazzale L.A. Scuro 10, I-37134, Verona, Italy. sara.mazzucco@univr.it
Abstract:
The ataxic form of chronic inflammatory demyelinating polyradiculoneuropathy (ataxic-CIDP) has been recently described as a subtype of chronic ataxic neuropathy, distinguished by steroid responsiveness and relative preservation of myelinated fibres at sural nerve biopsy. We report on a case of progressive, predominantly sensory, steroid-responsive neuropathy with clinical, laboratory, electrophysiological and pathological features of this uncommon form of CIDP. Moreover, the present case displays peculiar hyperpyrexia-triggered relapses leading to transitory severe tetraparesis, bilateral facial drooping, dysphonia, dysphagia and dyspnoea, which leave clinicians with some unresolved questions.
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