Multiple cranial nerve enhancement on MRI in primary Sjﾃｶgren's syndrome
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概要
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A 77-year-old man showed bilateral abducens palsies and multiple cranial nerve enhancement on magnetic resonance images (MRI) and aseptic meningitis. He had xerophthalmia and xerostomia. Serum anti-SS-A and anti-SS-B antibodies were present. He had Sjogren's syndrome (SjS) and corticosteroid therapy ameliorated the symptoms. The cranial nerve enhancement and the cerebrospinal fluid findings were normalized. In patients with SjS, there have not been any reports of multiple areas of cranial nerve enhancement on MRI. We propose that in this case the aseptic meningitis and subsequent lymphocytic infiltration to the cranial nerves contributed to the multiple cranial neuropathy and multiple cranial nerve enhancement on MRI. © 2010 The Japanese Society of Internal Medicine.
著者
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Hamaguchi Tsuyoshi
Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sc
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Yamada Masahito
Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sc
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Sakai Kenji
Department of Plant Resources, Kyushu University
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Hamaguchi Tsuyoshi
Department Of Neurology And Neurobiology Of Aging Kanazawa University Graduate School Of Medical Sci
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Sakai Kenji
Department Of Applied Chemistry Faculty Of Engineering Oita University
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Yamada Masahito
Department Of Neurology & Neurobiology Of Aging Kanazawa University Graduate School Of Medical S
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HAMAGUCHI Tsuyoshi
Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Science
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