Paraneoplastic vasculitic neuropathy: A treatable neuropathy
β Scribed by Dr.; MD Shin J. Oh; MD Robert Slaughter; MD Lindy Harrell
- Book ID
- 102536277
- Publisher
- John Wiley and Sons
- Year
- 1991
- Tongue
- English
- Weight
- 499 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0148-639X
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β¦ Synopsis
Paraneoplastic vasculitic neuropathy has been recently described. We report the first case of this disorder which responded both clinically and electrophysiologically to cyclophosphamide treatment. A 54-year-old woman with a history of metastatic endometrial carcinoma in remission had asymmetrical polyneuropathy, electrophysiological findings consistent with a diffuse axonal neuropathy, high sedimentation rate and spinal fluid protein, and microvasculitis with axonal degeneration on nerve biopsy. The patient was treated with 150 mg of cyclophosphamide daily with gradual clinical and electrophysiological improvement.
π SIMILAR VOLUMES
We read with interest the recent short report titled "Conduction Block in Vasculitic Neuropathy" by Drs. Mohamed et al. (Muscle Nerve 1998;21:1084-1088). The chronic 2-year history and clinical findings of prominent ataxia, symmetric sensory loss, and weakness in their patient is more typical of an
Vasculitis involving peripheral nerves usually presents as an acute asymmetrical axonal neuropathy. We report a 67-year-old man with a symmetrical subacute neuropathy in which nerve conduction studies showed prominent conduction block, a finding indicative of demyelination. Sural nerve biopsy showed