Chronic inflammatory demyelinating polyradiculoneuropathy: A case report.

RATIONALE

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a disorder characterized by a symmetrical, sensorimotor involvement and slowly progressive onset peripheral neuropathy. Peripheral neuropathies have been reported in some central demyelination patients. However, the central nervous system focus in the CIDP patient can mimic neuromyelitis optica have not been recognized by most of us.

PATIENT CONCERNS

The numbness and weakness of limbs about eight weeks.

DIAGNOSES

Chronic inflammatory demyelinating polyradiculoneuropathy.

INTERVENTIONS

Immunotherapy with intravenous immunoglobulins was applied to this patient.

OUTCOMES

After 1 year follow-up, the results showed there was still slight numbness of all limbs, and he could walk slowly without help. Gastrocnemius muscle atrophy did not aggravate.

LESSONS

So It is suggest that CIDP can combine with central lesions mimicking neuromyelitis optica. We should take the diagnosis of CIDP into consideration when we find focus in central nervous system.