De Marco O, Riffaud L, Pinel J-F, Edan G
Clinique Neurologique, Centre Hospitalier Universitaire de Rennes.
Rev Neurol (Paris). 2003 Nov;159(11):1060-2.
We present the case of a 35-year-old man who developed bilateral uveitis and acute ataxic sensorial polyradiculoneuropathy with sphincter dysfunction. The patient had multiple mediastinal adenopathies. Pathology examination led to the diagnosis of sarcoidosis. The patient improved partially spontaneously and totally after oral corticosteroid therapy. This case illustrates an unusual presentation of acute polyradiculoneuritis which is usually a predominantly motor disorder in sarcoidosis. Sensorial and ataxic neuropathy is uncommon. The course is more chronic and progressive.
我们报告一例35岁男性患者,该患者出现双侧葡萄膜炎以及伴有括约肌功能障碍的急性共济失调性感觉性多神经根神经病。患者有多处纵隔淋巴结肿大。病理检查确诊为结节病。患者部分症状自发改善,口服糖皮质激素治疗后完全康复。该病例说明了急性多神经根神经炎的一种不寻常表现,在结节病中通常主要是运动障碍。感觉性和共济失调性神经病变并不常见。病程更呈慢性且进行性发展。