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KMID : 0860920070090010089
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2007 Volume.9 No. 1 p.89 ~ p.93
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A Case of Chronic Inflammatory Demyelinating Polyneuropathy Associated with Transient Abducens Nerve Palsy
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Oh Seung-Hun
Kim Dong-Gun
Kim Mi-Hwa
Kim Ok-Joon
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Abstract
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Chronic inflammatory demyelinating polyneuropathy (CIDP) with cranial nerve involvement has been rarely reported. A 27-year-old female suddenly developed diplopia for 4 days. Her past history disclosedrelapse-remitting pattern of motor weakness and sensory impairment for 5 years. A transient diplopia dur-ing unknown period was developed 5 years ago. Recently, she had aggravation of motor weakness after postpartum 2 months ago. Neurological examination and electrophysiological study showed sensorimotor polyneuropathy of demyelinating type, and left 6th cranial nerve palsy. Brain MRI showed no abnormali- ty, and laboratory studies including autoimmune, metabolic, and monoclonal antibodies were all normal.
The left 6th nerve palsy disappeared spontaneously after 1 week without treatment, and limb weakness and sensory change were partially responded to steroid treatment.
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KEYWORD
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Chronic inflammatory demyelinating polyneuropathy (CIDP), Cranial nerve, Abducens nerve
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