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Chronic inflammatory demyelinating polyneuropathy with papillodema and response to immunoglobulins
S A El-Zunni1, P S Prakash, K M Saitti
1Al-Arab Medical University, PO Box 15250, Benghazi, Libya. Tel. 00 218 (61) 223 1977. Fax. 00 218 (61) 222 0051/222 5229.
Abstract:
Chronic inflammatory demyelinating polyneuropathy is considered as a chronic form of Guillain-Barre syndrome differing from it in response to steroids, course and prognosis. Papillodema although rare is not an uncommon feature. Here we report a case of florid papillodema in a patient of chronic inflammatory demyelinating polyneuropathy, discuss the underlying mechanisms in relation to cerebrospinal fluid pressure and protein content and response to intravenous immunoglobulins.
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