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[Neurosjögren: an unusual presentation with central nervous system involvement].
- Source :
-
Revue neurologique [Rev Neurol (Paris)] 2010 Apr; Vol. 166 (4), pp. 443-5. Date of Electronic Publication: 2009 Oct 06. - Publication Year :
- 2010
-
Abstract
- Introduction: Neurological manifestations in Sjögren's syndrome are variable. The peripheral nervous system is generally involved. We report a rare case of an unusual central neurological manifestation.<br />Case Report: A 54-year-old woman was admitted with headache and tetraparesia. The physical examination revealed a tetrapyramidal syndrome and a bilateral parotidomegaly. The patient's general condition was nevertheless quite good. Brain MRI showed an heterogeneous pontine lesion with multiple nodular formations in the periventricular white matter. Blood tests revealed anti-SSA and anti-SSB antibodies. A labial salivary gland biopsy was grade IV in Chisholm scoring system and Schirmer's test was positive.<br />Conclusion: A latent Sjögren's syndrome can lead to a wide variety of focal brain MRI abnormalities and should be evoked when the etiology is not clear.<br /> (2009 Elsevier Masson SAS. All rights reserved.)
Details
- Language :
- French
- ISSN :
- 0035-3787
- Volume :
- 166
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Revue neurologique
- Publication Type :
- Academic Journal
- Accession number :
- 19811798
- Full Text :
- https://doi.org/10.1016/j.neurol.2009.06.007