Ginsberg L, Platts A D, Thomas P K
Department of Clinical Neurosciences, Royal Free Hospital School of Medicine, London, UK.
J Neurol Neurosurg Psychiatry. 1995 Aug;59(2):189-91. doi: 10.1136/jnnp.59.2.189.
A patient with chronic inflammatory demyelinating polyneuropathy (CIDP) established by biopsy developed cauda equina symptoms due to swelling of the nerve roots in the lumbar spinal canal. Magnetic resonance imaging of the lumbar spine showed profoundly thickened nerve roots from the level of the conus medullaris, filling the caudal thecal sac. Immunosuppressant treatment produced partial clinical and radiological resolution. This case shows that spinal compressive syndromes may occur in acquired hypertrophic neuropathies as well as in hereditary motor and sensory neuropathy and expands the range of the clinical presentation of CIDP.
一名经活检确诊为慢性炎症性脱髓鞘性多发性神经病（CIDP）的患者，因腰椎管内神经根肿胀出现马尾综合征症状。腰椎磁共振成像显示，从脊髓圆锥水平开始神经根明显增粗，充满了尾侧硬膜囊。免疫抑制治疗使临床症状和影像学表现部分缓解。该病例表明，脊髓压迫综合征可能发生于获得性肥厚性神经病以及遗传性运动和感觉神经病，扩大了CIDP的临床表现范围。
