Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a sensory and motor demyelinating polyneuropathy that occurs with autoimmune mechanisms, affects the spinal roots, plexuses, and peripheral nerves, and presents with attacks or progressivity. Proximal and/or distal strength loss and...

Full description

Bibliographic Details
Main Authors: Buket Özkara, Faik Budak
Format: Article
Language:English
Published: Galenos Yayinevi 2021-09-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:https://tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-24922&look4=
_version_ 1828015617141112832
author Buket Özkara
Faik Budak
author_facet Buket Özkara
Faik Budak
author_sort Buket Özkara
collection DOAJ
description Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a sensory and motor demyelinating polyneuropathy that occurs with autoimmune mechanisms, affects the spinal roots, plexuses, and peripheral nerves, and presents with attacks or progressivity. Proximal and/or distal strength loss and mild atrophy in the upper and lower extremities and sensory complaints, such as numbness, pain, and burning, are observed. Cranial nerve involvement rarely accompanies typical findings. Facial nerve involvement is the most common; however, trigeminal, oculomotor, hypoglossus, and abducens nerve involvements are reported. Multifocal acquired demyelinating sensory and motor neuropathy (MADSAM) is an atypical variant of CIDP, characterized by asymmetrical motor and sensory losses and conduction blocks in the electromyography. Hashimoto’s thyroiditis is an autoimmune disease diagnosed with high serum thyroid antibody concentrations. Coexistence with neurological autoimmune diseases such as multiple sclerosis, myasthenia gravis, and multifocal motor neuropathy was reported. Moreover, few studies showed the coexistence of Hashimato’s thyroiditis and CIDP in the literature. Presented herein is a case of MADSAM with cranial nerve involvement and Hashimato’s thyroiditis.
first_indexed 2024-04-10T10:20:49Z
format Article
id doaj.art-221d883f584545259890443b76e244fd
institution Directory Open Access Journal
issn 1309-2545
language English
last_indexed 2024-04-10T10:20:49Z
publishDate 2021-09-01
publisher Galenos Yayinevi
record_format Article
series Türk Nöroloji Dergisi
spelling doaj.art-221d883f584545259890443b76e244fd2023-02-15T16:21:38ZengGalenos YayineviTürk Nöroloji Dergisi1309-25452021-09-0127331131410.4274/tnd.2021.24922Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve ParalysisBuket Özkara0https://orcid.org/0000-0002-1033-7737Faik Budak1https://orcid.org/0000-0002-3068-1423Alanya Alaaddin Keykubat University Faculty of Medicine, Department of Neurology, Antalya, TurkeyKocaeli University Faculty of Medicine, Department of Neurology, Kocaeli, TurkeyChronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a sensory and motor demyelinating polyneuropathy that occurs with autoimmune mechanisms, affects the spinal roots, plexuses, and peripheral nerves, and presents with attacks or progressivity. Proximal and/or distal strength loss and mild atrophy in the upper and lower extremities and sensory complaints, such as numbness, pain, and burning, are observed. Cranial nerve involvement rarely accompanies typical findings. Facial nerve involvement is the most common; however, trigeminal, oculomotor, hypoglossus, and abducens nerve involvements are reported. Multifocal acquired demyelinating sensory and motor neuropathy (MADSAM) is an atypical variant of CIDP, characterized by asymmetrical motor and sensory losses and conduction blocks in the electromyography. Hashimoto’s thyroiditis is an autoimmune disease diagnosed with high serum thyroid antibody concentrations. Coexistence with neurological autoimmune diseases such as multiple sclerosis, myasthenia gravis, and multifocal motor neuropathy was reported. Moreover, few studies showed the coexistence of Hashimato’s thyroiditis and CIDP in the literature. Presented herein is a case of MADSAM with cranial nerve involvement and Hashimato’s thyroiditis.https://tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-24922&look4=madsamautoimmune thyroiditiscranial nerve paralysis
spellingShingle Buket Özkara
Faik Budak
Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis
Türk Nöroloji Dergisi
madsam
autoimmune thyroiditis
cranial nerve paralysis
title Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis
title_full Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis
title_fullStr Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis
title_full_unstemmed Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis
title_short Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis
title_sort patient with madsam autoimmune thyroiditis and 6th cranial nerve paralysis
topic madsam
autoimmune thyroiditis
cranial nerve paralysis
url https://tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-24922&look4=
work_keys_str_mv AT buketozkara patientwithmadsamautoimmunethyroiditisand6thcranialnerveparalysis
AT faikbudak patientwithmadsamautoimmunethyroiditisand6thcranialnerveparalysis