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Un caso de ganglioneuropatía con movimientos hipercinéticos
Sanuri Gunawardena1, Umar Shuaib2, Junaid Siddiqui2
1Cleveland Clinic Neurological Institute, US.
Tremor and other hyperkinetic movements (New York, N.Y.)
|February 16, 2026
Resumen
La enfermedad de Sjögren puede causar ganglioneuropatía sensorial, una afección neurológica rara. El reconocimiento temprano es crucial para controlar síntomas como la ataxia sensorial y la pseudoatetosis.
Área de la Ciencia:
- Neurología; Inmunología; Reumatología
Sus antecedentes:
- La ganglioneuropatía sensorial es una complicación neurológica rara de la enfermedad de Sjögren.; Se presenta con síntomas sensoriales no dependientes de la longitud, a menudo mal diagnosticados como otras neuropatías.
Objetivo del estudio:
- Informar un caso de ganglioneuropatía sensorial relacionada con Sjögren.; Destacar la importancia del reconocimiento y diagnóstico tempranos.
Principales métodos:
- Informe de caso de un hombre de 73 años con ataxia sensorial severa y pseudoatetosis.; El estudio diagnóstico incluyó examen neurológico, RM, EMG y análisis de LCR.; Los anticuerpos positivos de Sjögren confirmaron el diagnóstico.
Principales resultados:
- El paciente presentó movimientos involuntarios, pérdida de sensibilidad y ataxia de la marcha.; El examen reveló ausencia de propiocepción, arreflexia y empeoramiento de la ataxia.; La RM mostró enfermedad degenerativa de la columna; el EMG indicó polineuropatía desmielinizante y axonal.; Se observó aumento de proteínas en LCR y anticuerpos positivos de Sjögren.
Conclusiones:
- La ataxia sensorial progresiva a pesar de la inmunoterapia confirmó la ganglioneuropatía sensorial asociada a Sjögren.; El reconocimiento temprano de esta afección es vital para un manejo efectivo.
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