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Neurological features in overlap syndrome.

A Nitsche1, R C Leiguarda, J A Maldonado Cocco

  • 1Instituto Nacional de Rehabilitación, Instituto de Investigación Neurológica Raúl Carrea FLENI, Buenos Aires, Argentina.

Clinical Rheumatology
|March 1, 1991
PubMed
Summary

Neurological findings, particularly trigeminal neuropathy, are common in overlap syndrome. Central nervous system involvement mimicking demyelinating disease can also occur.

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Area of Science:

  • Neurology
  • Rheumatology
  • Immunology

Background:

  • Overlap syndrome is characterized by features of multiple autoimmune rheumatic diseases.
  • Neurological involvement in overlap syndrome is not well-characterized.

Purpose of the Study:

  • To determine the frequency of neurological findings in patients with overlap syndrome.
  • To describe unusual neurological presentations in overlap syndrome.

Main Methods:

  • Retrospective analysis of 33 patients diagnosed with overlap syndrome.
  • Detailed review of neurological examinations and clinical histories.

Main Results:

  • 15% (5 out of 33) of patients exhibited neurological findings.
  • Unilateral trigeminal sensory neuropathy was the most common finding, present in 4 patients.

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  • Two patients presented with central nervous system involvement suggestive of demyelinating disease, including aseptic meningitis and progressive paraparesis.

    • Conclusions:

    • Neurological manifestations, especially trigeminal neuropathy, are frequent in overlap syndrome.
    • Overlap syndrome can present with central nervous system involvement mimicking demyelinating disorders.