A Case of Acute Inflammatory Polyneuropathy with Atypical Features

YILDIZ, Serpil; BOLAC, Elif Sultan; TURKOGLU, Sule Aydın; YILDIZ, Nebil

A Case of Acute Inflammatory Polyneuropathy with Atypical Features

Sule Aydın TURKOGLU, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Bolu, Türkiye)

Elif Sultan BOLAC, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Bolu, Türkiye)

Serpil YILDIZ, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Bolu, Türkiye)

Nebil YILDIZ (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Bolu, Türkiye)

ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ

1 0

Yıl: 2016 Cilt: 21 Sayı: 1 Sayfa Aralığı: 72 - 75 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A Case of Acute Inflammatory Polyneuropathy with Atypical Features

Öz:

Bilateral fasiyal paralizi, ilerleyici kas güçsüzlüğü ve elektrofizyolojik değerlendirmede akut motor aksonal polinöropati bulguları gösteren bir olgu sunulmaktadır. Öncesinde karın ağrısı, ishal ve grip benzeri şikayetlere sonrasında otonom anormallikler, görsel halüsinasyon epizotları, konuşma bozukluğu eklendi. Campylobacter jejuni enfeksiyonu, Lyme hastalığı ve porfiri ayırıcı tanısı yapıldı. Western-blot testi Lyme hastalığı birlikteliğini doğruladı. Ek olarak porfirine spesifik testler pozitif bulundu.

Anahtar Kelime:

Konular: Cerrahi

Atipik Özellikler Gösteren Akut Enflamatuvar Polinöropatili Bir Olgu

Öz:

A case report with progressive weakness, bilateral facial paralysis and acute motor axonal polyneuropathy demonstrating electrodiagnostic evaluation will be presented. The condition was preceded by diarrhea, flu-like infection, abdominal pain and gastric tenderness; eventually, autonomic manifestation with episodes of visual hallucinations and disordered speech was added. Relation with Campylobacter jejuni infection, Lyme disease and porphyria are debated in differential diagnosis. Western-blot tests confirmed Lyme disease, and porphyrin specific test results were found positive.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

Rostami AM. Pathogenesis of immune mediated neuropa- thies. Pediatr Res. 1993;33:S90-4.
Van den Berg B, Walgaard C, Drenthen J, Fokke C, Jacobs BC, van Doorn PA. Guillain-Barré syndrome: pathogen- esis, diagnosis, treatment and prognosis. Nat Rev Neurol. 2014;10(8):469-82.
Fokke C, van den Berg B, Drenthen J, Walgaard C, van Doorn PA, Jacobs B.C. Diagnosis of Guillain-Barré syndrome and validation of Brighton criteria. Brain. 2014;137(1):33-43.
Walling AD, Dickson G. Guillain-Barré syndrome. Am Fam Physician. 2013;87(3):191-97.
Ljİstad U, Mygland A. Chronic Lyme; diagnostic and therapeutic challenges. Acta Neurol Scand. 2013;127(Sup- pl.196):38-47.
Topakian R, Stieglbauer K, Nussbaumer K, Aichner FT. Ce- rebral vasculitis and stroke in Lyme neuroborreliosis. Two case reports and review of current knowledge. Cerebrovasc Dis. 2008;26(5):455-61.
Logigian EL, Steere AC. Clinical and electrophysiologic find- ings in chronic neuropathy of Lyme disease. Neurology. 1992;42(2):303-11.
Pachner AR, Steere AC. Neurological findings of Lyme dis- ease. Yale J Biol Med. 1984;57(4):481-83.
Sassa S. Modern diagnosis and management of the porphyr- ias Br J Haematol. 2006;135(3):281-92.
Tasnádi G, Bor M, Pusztai A, Székely E. Acute porphyrias in differential diagnosis. Orv Hetil. 2003;144(17):811-18.
Simon NG, Herkes GK. The neurologic manifestations of the acute porphyrias. J Clin Neurosci. 2011;18(9):1147-53.
Pozo OJ, Marcos J, Fabregat A, Ventura R, Casals G, Aguilera P, et al. Adrenal hormonal imbalance in acute intermittent porphyria patients: results of a case control study. Orphanet J Rare Dis. 2014;9:54.
Kanjwal K, Karabin B, Kanjwal Y, Grubb BP. Postural ortho- static tachycardia syndrome following Lyme disease. Cardiol J. 2011;18(1):63-6.
Lesourd A, Ngo S, Sauvêtre G, Héron F, Levesque H, Marie I. Facial diplegia as the presenting feature of Lyme disease. Rev Med Interne. 2015;36(5):352-55.
Wiszniewska M, Szmaglinska H, Kozubski W. Guillain-Barré syndrome in a course of early cutaneous type of Lyme bor- reliosis: diagnostic and therapeutic difficulties. Neurol Neu- rochir Pol. 2005;39(5):412-16.
Shamim EA, Shamim SA, Liss G, Nylen E, Pincus JH, Yepes M. Constipation heralding neuroborreliosis: an atypical tale of 2 patients. Arch Neurol. 2005;62(4):671-73.
Wu CL, Ro LS, Jung SM, Tsai TC, Chu CC, Lyu RK, et al. Clinical presentation and electrophysiological findings of porphyric neuropathies: a follow-up study. Muscle Nerve. 2015;51(3):363-69.
Logigian EL, Steere AC. Clinical and electrophysiologic findings in chronic neuropathy of Lyme disease. Neurology. 1992;42(2):303-11.
Kadam P, Gregory NA, Zelger B, Carlson JA. Delayed on- set of the Jarisch-Herxheimer reaction in doxycycline- treated disease: a case report and review of its histopathol- ogy and implications for pathogenesis. Am J Dermatopathol. 2015;37(6):68-74.
Maloy AL, Black RD, Segurola RJ Jr. Lyme disease compli- cated by the Jarisch-Herxheimer reaction. J Emerg Med. 1998;16(3):437-8.
Karma A, Mikkilä H. Ocular manifestations and treatment of Lyme disease. Curr Opin Ophthalmol. 1996;7(3):7-12.
Kono Y, Sengoku R, Mitsumura H, Bono K, Sakuta K, Yama- saki M, et al. Clinical characteristics associated with cortico- spinal tract hyperintensity on magnetic resonance imaging in patients with amyotrophic lateral sclerosis. Clin Neurol Neurosurg. 2014;127:1-4.
Oshima Y, Mitsui T, Endo I, Umaki Y, Matsumoto T. Cor- ticospinal tract involvement in a variant of Guillain-Barré syndrome. Eur Neurol. 2001;46(1):39-42.
Katchanov J, Lünemann JD, Masuhr F, Becker D, Ahmadi M, Bösel J, et al. Acute combined central and peripheral in- flammatory demyelination. J Neurol Neurosurg Psychiatry. 2004;75(12):1784-86.
Kuwabara S, Nakata M, Sung JY, Mori M, Kato N, Hattori T, et al. Hyperreflexia in axonal Guillain-Barré syndrome subsequent to Campylobacter jejuni enteritis. J Neurol Sci. 2002;199(1-2):89-92.
Banakar BF, Pujar GS, Bhargava A, Khichar S. Guillain-Barré syndrome with posterior reversible encephalopathy syn- drome. J Neurosci Rural Pract. 2014;5(1):63-65.
Ramanathan M. Hyponatraemic encephalopathy as the ini- tial presentation of Guillain-Barré syndrome. Med J Malay- sia. 2008;63(5):426-27.
Damasceno A, França Jr MC, Pimenta DS, Deus-Silva Ld, Nucci A, Damasceno BP. Bickerstaff's encephalitis, Guil- lain-Barré syndrome and idiopathic intracranial hyper- tension: are they related conditions? Arq Neuropsiquiatr. 2008;66(3B):744-46.
Shameem R, Sonpal N, Hamid M, Orsher S, Bhatia N, David M. et al. Bickerstaff's brainstem encephalitis: a rare variant of the anti-GQ1b antibody syndrome. Practical Neurology. September/October 2013

APA	TURKOGLU S, BOLAC E, YILDIZ S, YILDIZ N (2016). A Case of Acute Inflammatory Polyneuropathy with Atypical Features. , 72 - 75.
Chicago	TURKOGLU Sule Aydın,BOLAC Elif Sultan,YILDIZ Serpil,YILDIZ Nebil A Case of Acute Inflammatory Polyneuropathy with Atypical Features. (2016): 72 - 75.
MLA	TURKOGLU Sule Aydın,BOLAC Elif Sultan,YILDIZ Serpil,YILDIZ Nebil A Case of Acute Inflammatory Polyneuropathy with Atypical Features. , 2016, ss.72 - 75.
AMA	TURKOGLU S,BOLAC E,YILDIZ S,YILDIZ N A Case of Acute Inflammatory Polyneuropathy with Atypical Features. . 2016; 72 - 75.
Vancouver	TURKOGLU S,BOLAC E,YILDIZ S,YILDIZ N A Case of Acute Inflammatory Polyneuropathy with Atypical Features. . 2016; 72 - 75.
IEEE	TURKOGLU S,BOLAC E,YILDIZ S,YILDIZ N "A Case of Acute Inflammatory Polyneuropathy with Atypical Features." , ss.72 - 75, 2016.
ISNAD	TURKOGLU, Sule Aydın vd. "A Case of Acute Inflammatory Polyneuropathy with Atypical Features". (2016), 72-75.

APA	TURKOGLU S, BOLAC E, YILDIZ S, YILDIZ N (2016). A Case of Acute Inflammatory Polyneuropathy with Atypical Features. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ, 21(1), 72 - 75.
Chicago	TURKOGLU Sule Aydın,BOLAC Elif Sultan,YILDIZ Serpil,YILDIZ Nebil A Case of Acute Inflammatory Polyneuropathy with Atypical Features. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ 21, no.1 (2016): 72 - 75.
MLA	TURKOGLU Sule Aydın,BOLAC Elif Sultan,YILDIZ Serpil,YILDIZ Nebil A Case of Acute Inflammatory Polyneuropathy with Atypical Features. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ, vol.21, no.1, 2016, ss.72 - 75.
AMA	TURKOGLU S,BOLAC E,YILDIZ S,YILDIZ N A Case of Acute Inflammatory Polyneuropathy with Atypical Features. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ. 2016; 21(1): 72 - 75.
Vancouver	TURKOGLU S,BOLAC E,YILDIZ S,YILDIZ N A Case of Acute Inflammatory Polyneuropathy with Atypical Features. ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ. 2016; 21(1): 72 - 75.
IEEE	TURKOGLU S,BOLAC E,YILDIZ S,YILDIZ N "A Case of Acute Inflammatory Polyneuropathy with Atypical Features." ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ, 21, ss.72 - 75, 2016.
ISNAD	TURKOGLU, Sule Aydın vd. "A Case of Acute Inflammatory Polyneuropathy with Atypical Features". ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ 21/1 (2016), 72-75.