Abstract
Chronic inflammatory demyelinating polyneuropathy (CIDP) is a condition affecting the peripheral nervous system; however, it has been associated with central nervous system (CNS) involvement. The natural history and response to treatment of these CNS lesions are unknown. We report the case of a patient with CIDP which met research criteria for definite CIDP and associated symptomatic CNS lesions. She had resolution of her CNS-based clinical and radiographic findings with intravenous immunoglobulin (IVIG) therapy. IVIG is a reasonable treatment option when symptomatic, CIDP-associated CNS lesions are present.
MeSH terms
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Brain Mapping
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Central Nervous System Diseases / complications*
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Central Nervous System Diseases / immunology
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Central Nervous System Diseases / pathology
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Central Nervous System Diseases / therapy
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Female
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Frontal Lobe / anatomy & histology
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Frontal Lobe / injuries
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Frontal Lobe / metabolism
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Humans
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Immunization, Passive / adverse effects
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Immunoglobulins, Intravenous / adverse effects*
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Immunoglobulins, Intravenous / therapeutic use
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Injections, Intraventricular / methods
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Magnetic Resonance Imaging / instrumentation
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Magnetic Resonance Imaging / methods
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Middle Aged
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Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / complications*
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Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / pathology
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Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / therapy
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Sural Nerve / anatomy & histology
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Sural Nerve / injuries
Substances
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Immunoglobulins, Intravenous