Journal article
Case Report of Lewis and Sumner Syndrome with Bilateral Vagus Nerves Paralysis for 16 Years
American journal of physical medicine & rehabilitation, Vol.95(12), pp.E198-E201
12/01/2016
DOI: 10.1097/PHM.0000000000000543
PMID: 27175564
Abstract
This report describes a patient with dysphonia for 16 years in combination with asymmetric and progressive decrease in sense and power of both upper and lower extremities for the past 3 years. Electrophysiological study revealed asymmetric conduction block and abnormal sensory action potential in 4 limbs. The vagus nerves palsy and abnormal electrodiagnosis of the limbs led us to diagnose the disease as Lewis and Sumner syndrome, also called multifocal acquired demyelinating sensory and motor neuropathy diagnosis, which improved by corticosteroid consumption to some extent. This case is uncommon by its long time presentation and progression. To the best of the authors_ knowledge, this is the first report of simultaneous bilateral vagus nerve palsy in combination with upper and lower limbs_ demyelinating neuropathy. In conclusion, persistent dysphonia can be a part of the presentation of demyelinating neuropathy.
Details
- Title: Subtitle
- Case Report of Lewis and Sumner Syndrome with Bilateral Vagus Nerves Paralysis for 16 Years
- Creators
- Attiyeh Vasaghi - Foundation for Physical Medicine and RehabilitationAlireza Ashraf - Faghihi HospitalAlireza Shirzadi - Faghihi HospitalPeyman Petramfar - Faghihi Hospital
- Resource Type
- Journal article
- Publication Details
- American journal of physical medicine & rehabilitation, Vol.95(12), pp.E198-E201
- DOI
- 10.1097/PHM.0000000000000543
- PMID
- 27175564
- NLM abbreviation
- Am J Phys Med Rehabil
- ISSN
- 0894-9115
- eISSN
- 1537-7385
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 4
- Language
- English
- Date published
- 12/01/2016
- Academic Unit
- Neurology
- Record Identifier
- 9985013728502771
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