Subacute, painful weakness is a common problem encountered by neurologists and can be associated with systemic symptoms. The patient presented with 6 weeks of progressive neuropathic pain followed by sensory changes and distal-predominant weakness. This case reviews the broad differential for such a presentation and a comprehensive, stepwise approach to diagnosis. Particular attention is paid to the potentially treatable polyradiculoneuropathies, including more recently recognized immune-mediated etiologies. Through this stepwise approach, we review how a definitive diagnosis was made.
机构:
CHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, FranceCHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, France
Humbert, S.
Razanamahery, J.
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CHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, FranceCHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, France
Razanamahery, J.
Payet-Revest, C.
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CHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, FranceCHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, France
Payet-Revest, C.
Meaux-Ruault, N.
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CHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, FranceCHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, France
Meaux-Ruault, N.
Gil, H.
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CHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, FranceCHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, France
Gil, H.
Magy-Bertrand, N.
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CHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, FranceCHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, France
Magy-Bertrand, N.
London, J.
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Hop La Croix St Simon, Serv Med Interne, 125 Rue Avron, F-75020 Paris, FranceCHU Jean Minjoz, Serv Med Interne, 3 Blvd Alexandre Fleming, F-25000 Besancon, France
机构:
Univ Colorado, Sch Med, Div Pulm Sci & Crit Care Med, Aurora, CO 80045 USAUniv Colorado, Sch Med, Div Pulm Sci & Crit Care Med, Aurora, CO 80045 USA
Lane, Trevor
Hountras, Peter
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Univ Colorado, Sch Med, Div Pulm Sci & Crit Care Med, Aurora, CO 80045 USAUniv Colorado, Sch Med, Div Pulm Sci & Crit Care Med, Aurora, CO 80045 USA