A 71-years old woman, suffering for a Sjogren syndrome since she was 68 y.o., after a fever, gradually developed a severe paraparesis, with paresthesias, hypoaesthesia and a neurogenic bladder. Clinical evaluation and M.R.I. disclosed an inflammatory dorsal spinal cord involvement, probably due to a vasculitis. After a transient improvement, she had a relapse. During the new clinical observation, the e.m.g. and neurography examination disclosed a concurrent neuropathy. A nerve biopsy confirmed a motor and sensitive axonal neuropathy. The patient improved with steroids and pentossiphyllin therapy. Now a treatment with azathioprine is taking place.
|Translated title of the contribution||Sjogren syndrome with concurrent myelopathy and axonal neuropathy: Case report|
|Number of pages||5|
|Journal||Rivista di Neurobiologia|
|Publication status||Published - 1999|
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