Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) with hypertrophic spinal radiculopathy mimicking neurofibromatosis.

Abstract:

:This report illustrates a case of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) masquerading as neurofibromatosis due to multifocal enlargements of spinal nerve roots. The patient initially complained of intermittent numbness of the hands and leg weakness at age 62. Nerve conduction velocities were reported to be abnormally slow, suggesting a diagnosis of demyelinating neuropathy. A complaint of progressive lower back pain 4 years later prompted a lumbar CT myelogram, which demonstrated bilateral nerve root enlargements. A biopsy of an enlarged lumbar root obtained during decompressive laminectomy was interpreted as consistent with a plexiform neurofibroma. He suffered recurrent paraparesis, at times with a sensory level indicating spinal cord compression, which responded to corticosteroid therapy. An autopsy 15 years after the onset of symptoms revealed hypertrophic radiculopathy and peripheral neuropathy due to CIDP with no evidence of neurofibromatosis. This case illustrates how the hypertrophic neuropathy accompanying CIDP can be mistaken for neurofibromatosis.

journal_name

Acta Neuropathol

journal_title

Acta neuropathologica

authors

Pytel P,Rezania K,Soliven B,Frank J,Wollmann R

doi

10.1007/s00401-002-0616-7

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

185-8

issue

2

eissn

0001-6322

issn

1432-0533

journal_volume

105

pub_type

杂志文章
  • Apoptosis of oligodendrocytes occurs for long distances away from the primary injury after compression trauma to rat spinal cord.

    abstract::We evaluated by in situ nick end labeling the presence of apoptotic glial cells in the spinal cord of rats which have sustained a moderate and severe compression injury at the level of T8-9, resulting in a severe but reversible paraparesis and irreversible paraplegia, respectively. In a previous investigation we found...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010051112

    authors: Li GL,Farooque M,Holtz A,Olsson Y

    更新日期:1999-11-01 00:00:00

  • The distribution of cerebrovascular amyloid in Alzheimer's disease varies with ApoE genotype.

    abstract::We performed a comparative study to assess cerebral amyloid angiopathy and ApoE genotype in cases of Alzheimer's disease (AD). Ten ApoE 3,3 and ten ApoE 4,4 AD brains, as well as ten normal control brains, were selected after matching for age, sex, and duration of disease. Sections of middle frontal and inferior parie...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-006-0162-9

    authors: Trembath D,Ervin JF,Broom L,Szymanski M,Welsh-Bohmer K,Pieper C,Hulette CM

    更新日期:2007-01-01 00:00:00

  • Histochemical study of pituitary adenomas with Ki-67 and anti-DNA polymerase alpha monoclonal antibodies, bromodeoxyuridine labeling, and nucleolar organizer region counts.

    abstract::The growth potential of 65 pituitary adenomas was determined by histochemical analysis with Ki-67 and anti-DNA polymerase alpha monoclonal antibodies, bromodeoxyuridine (BrdUdR) labeling, and counts of argyrophilic nucleolar organizer regions (Ag-NORs). The mean proliferating cell indices (PCIs) determined by Ki-67 an...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00311392

    authors: Shibuya M,Saito F,Miwa T,Davis RL,Wilson CB,Hoshino T

    更新日期:1992-01-01 00:00:00

  • Presenile dementia with Alzheimer-, Pick- and Lewy-body changes.

    abstract::An autopsy case of unclassifiable presenil dementia is reported. The outstanding pathological findings were as follows; 1. presence of senile plaques, neurofibrillary changes, Pick bodies, Hirano bodies, granulovacuolar degeneration of neurons, etc. 2. numerous Lewy bodies in the brain stem and diencephalon, 3. peculi...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00685366

    authors: Kosaka K,Oyanagi S,Matsushita M,Hori A

    更新日期:1976-11-15 00:00:00

  • Postencephalitic porencephaly, hydranencephaly or polymicrogyria. A review.

    abstract::Twenty necropsy cases of the association of fetal encephalitis with porencephaly, hydranencephaly or polymicrogyria were reviewed including 5 from the authors' material. The latter include a basket brain, a porencephalic necrosis of recent date and a polymicrogyria in the formative state. The supratentorial lesions ar...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00685011

    authors: Friede RL,Mikolasek J

    更新日期:1978-08-07 00:00:00

  • Immunohistochemical study on the distribution of alpha and beta subunits of S-100 protein in brain tumors.

    abstract::The immunohistochemical distribution of alpha and beta subunits of S-100 protein (S-100 alpha, S-100 beta, respectively) in 138 cases of human brain tumors was investigated by the avidin-biotin immunoperoxidase method. Brain tumors can be divided into four groups: group 1 [S-100 alpha (+) and/or S-100 beta (+)]; astro...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00296376

    authors: Hayashi K,Hoshida Y,Horie Y,Takahashi K,Taguchi K,Sonobe H,Ohtsuki Y,Akagi T

    更新日期:1991-01-01 00:00:00

  • Intracytoplasmic eosinophilic inclusions in the neurons of the central nervous system.

    abstract::This study reports the histological, ultrastructural, and immunocytochemical characteristics of intracytoplasmic eosinophilic inclusion bodies occurring in various types of neurons of the human central nervous system. By light microscopy, the inclusions were brightly eosinophilic, slightly birefringent, and sharply de...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00308960

    authors: Peña CE,Katoh A

    更新日期:1989-01-01 00:00:00

  • Exertional rhabdomyolysis and exercise intolerance revealing dystrophinopathies.

    abstract::Exercise intolerance associated with myalgias, muscle cramps or myoglobinuria may be associated with a dystrophinopathy. A search for abnormal dystrophin expression (using immunohistochemistry, immunoblot and DNA analysis) was carried out in a series of 15 patients. They were selected because they presented exercise i...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010050671

    authors: Figarella-Branger D,Baeta Machado AM,Putzu GA,Malzac P,Voelckel MA,Pellissier JF

    更新日期:1997-07-01 00:00:00

  • Phenytoin alters Purkinje cell axon morphology and targeting in vitro.

    abstract::In adult mice, administration of the anticonvulsive drug phenytoin caused focal swellings along the Purkinje cell axon correlated with ataxia and incoordination of movements. In our model, we used murine cerebellar slice cultures to study the influence of phenytoin on postnatal Purkinje cell axon differentiation. Almo...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010050844

    authors: Tauer U,Knoth R,Volk B

    更新日期:1998-06-01 00:00:00

  • Neuropathological signs of inflammation correlate with mitochondrial DNA deletions in mesial temporal lobe epilepsy.

    abstract::Accumulation of mitochondrial DNA (mtDNA) deletions has been proposed to be responsible for the presence of respiratory-deficient neurons in several CNS diseases. Deletions are thought to originate from double-strand breaks due to attack of reactive oxygen species (ROS) of putative inflammatory origin. In epileptogene...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-016-1561-1

    authors: Volmering E,Niehusmann P,Peeva V,Grote A,Zsurka G,Altmüller J,Nürnberg P,Becker AJ,Schoch S,Elger CE,Kunz WS

    更新日期:2016-08-01 00:00:00

  • Thiazin red as a neuropathological tool for the rapid diagnosis of Alzheimer's disease in tissue imprints.

    abstract::In recent years, we have used a variety of tau immunological markers combined with the dye thiazin red (TR), an accurate marker to differentiate the fibrillar from the nonfibrillar state of both amyloid-beta and tau in Alzheimer's disease (AD). In this study, we used TR as a potential diagnostic marker of AD in frozen...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-008-0431-x

    authors: Luna-Muñoz J,Peralta-Ramirez J,Chávez-Macías L,Harrington CR,Wischik CM,Mena R

    更新日期:2008-11-01 00:00:00

  • Experimental transmissibility of mutant SOD1 motor neuron disease.

    abstract::By unknown mechanisms, the symptoms of amyotrophic lateral sclerosis (ALS) seem to spread along neuroanatomical pathways to engulf the motor nervous system. The rate at which symptoms spread is one of the primary drivers of disease progression. One mechanism by which ALS symptoms could spread is by a prion-like propag...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-014-1342-7

    authors: Ayers JI,Fromholt S,Koch M,DeBosier A,McMahon B,Xu G,Borchelt DR

    更新日期:2014-12-01 00:00:00

  • Bicuculline-induced epileptic brain injury. Transient and persistent cell changes in rat cerebral cortex in the early recovery period.

    abstract::It was earlier shown that bicuculline-induced status epilepticus gives rise to profound acute changes in the rat cerebral cortex, i.e. edema and neuronal alterations. In the present study, we explored to what extent interruption of the seizure activity reverses the changes observed. To that end, status epilepticus of ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00684924

    authors: Söderfeldt B,Kalimo H,Olsson Y,Siesjö BK

    更新日期:1983-01-01 00:00:00

  • Secretory meningiomas are defined by combined KLF4 K409Q and TRAF7 mutations.

    abstract::Meningiomas are among the most frequent intracranial tumors. The secretory variant of meningioma is characterized by glandular differentiation, formation of intracellular lumina and pseudopsammoma bodies, expression of a distinct pattern of cytokeratins and clinically by pronounced perifocal brain edema. Here we descr...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-013-1093-x

    authors: Reuss DE,Piro RM,Jones DT,Simon M,Ketter R,Kool M,Becker A,Sahm F,Pusch S,Meyer J,Hagenlocher C,Schweizer L,Capper D,Kickingereder P,Mucha J,Koelsche C,Jäger N,Santarius T,Tarpey PS,Stephens PJ,Andrew Futreal P,

    更新日期:2013-03-01 00:00:00

  • Ballooned neurons in select neurodegenerative diseases contain phosphorylated neurofilament epitopes.

    abstract::Ballooned neurons are histological features of several neurodegenerative diseases of the central nervous system. We describe the immunocytochemical staining of ballooned neurons in Pick's disease, unclassified dementia, corticonigral degeneration, pigment-spheroid degeneration and Alzheimer's disease. In all of these ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00688042

    authors: Dickson DW,Yen SH,Suzuki KI,Davies P,Garcia JH,Hirano A

    更新日期:1986-01-01 00:00:00

  • Cell membrane structure of human giant-celled glioblastoma.

    abstract::A giant-cell glioblastoma was examined by electron microscopy and by the freeze-fracture technique. The cell membranes bordering the extensive extracellular space often showed complicated undulations and peripheral vacuoles as well as occasional microvilli or filopodia. The undulations were mainly composed of plasmale...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00689558

    authors: Tani E,Nakano M,Itagaki T,Fukumori T

    更新日期:1978-01-19 00:00:00

  • Patterns of cyclooxygenase-1 and -2 expression in human gliomas in vivo.

    abstract::Cyclooxygenases (COX, prostaglandin endoperoxide synthases, PGG/H synthases) are potent mediators of inflammation. While COX-1 is constitutively expressed in a wide range of tissues, COX-2 is cytokine inducible. Although COX-1 expression is observed in normal tissue, enhanced COX-2 expression has been attributed a key...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010051075

    authors: Deininger MH,Weller M,Streffer J,Mittelbronn M,Meyermann R

    更新日期:1999-09-01 00:00:00

  • CNS macrophages and peripheral myeloid cells in brain tumours.

    abstract::Primary brain tumours (gliomas) initiate a strong host response and can contain large amounts of immune cells (myeloid cells) such as microglia and tumour-infiltrating macrophages. In gliomas the course of pathology is not only controlled by the genetic make-up of the tumour cells, but also depends on the interplay wi...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章,评审

    doi:10.1007/s00401-014-1274-2

    authors: Glass R,Synowitz M

    更新日期:2014-09-01 00:00:00

  • Multiple sclerosis and amyloid deposits in the white matter of the brain.

    abstract::We present the neuropathological findings in a female patient with clinically definite multiple sclerosis (MS), who at autopsy had multifocal amyloid deposits in the white matter of the brain without other signs of amyloidosis. The patient had relapsing/remitting MS between the ages of 26 and 45, and during her last 1...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章,评审

    doi:10.1007/s004010050604

    authors: Nennesmo I,Bogdanovic N,Petrén AL,Fredrikson S

    更新日期:1997-02-01 00:00:00

  • Pericapillary rosettes in the human spinal cord.

    abstract::We have found large eosinophilic bodies in the pericapillary regions of the gray and white matter in the human spinal cord. These are entirely different from the previously reported pericapillary inclusion bodies (PIB). We have designated them pericapillary rosettes (PR), since they consist of clusters of round or ovo...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00299408

    authors: Sasaki S,Maruyama S

    更新日期:1992-01-01 00:00:00

  • [Amyotrophic lateral sclerosis with degeneration of thalamus and substantia nigra (author's transl)].

    abstract::A 40-year-old man suffering from amyotrophic lateral sclerosis with symmetrical degeneration of the thalamus and the substantia nigra is reported. The distribution pattern of the thalamic degeneration in the present case was characteristic in that the Nucleus centralis was the severest affected of the thalamic nuclei...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00691074

    authors: Kosaka K,Mehraein P

    更新日期:1978-12-15 00:00:00

  • Wolfram syndrome: a clinicopathologic correlation.

    abstract::Wolfram syndrome or DIDMOAD (diabetes insipidus, diabetes mellitus, optic atrophy and deafness) is a neurodegenerative disorder characterized by diabetes mellitus and optic atrophy as well as diabetes insipidus and deafness in many cases. We report the post-mortem neuropathologic findings of a patient with Wolfram syn...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-009-0546-8

    authors: Hilson JB,Merchant SN,Adams JC,Joseph JT

    更新日期:2009-09-01 00:00:00

  • Antibody-mediated neutralization of myelin-associated EphrinB3 accelerates CNS remyelination.

    abstract::Remyelination in multiple sclerosis (MS) lesions often remains incomplete despite the presence of oligodendrocyte progenitor cells (OPCs). Amongst other factors, successful remyelination depends on the phagocytic clearance of myelin debris. However, the proteins in myelin debris that act as potent and selective inhibi...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-015-1521-1

    authors: Syed YA,Zhao C,Mahad D,Möbius W,Altmann F,Foss F,González GA,Sentürk A,Acker-Palmer A,Lubec G,Lilley K,Franklin RJM,Nave KA,Kotter MRN

    更新日期:2016-02-01 00:00:00

  • Peripheral nerve findings in hereditary coproporphyria. Light and ultrastructural studies in two sural nerve biopsies.

    abstract::In spite of several cases reported in the literature, the exact pathogenetic mechanism of neuropathic changes in porphyric neuropathy remains uncertain. Various authors have ascribed the neuropathologic findings to either a dying-back axonal degeneration or segmental demyelination. In recent years, the hypothesis of a...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00697191

    authors: Di Trapani G,Casali C,Tonali P,Topi GC

    更新日期:1984-01-01 00:00:00

  • Binding of swine IgM immunoglobulins to peripheral nerve myelin sheaths in electron microscopic immunocytochemistry.

    abstract::The IgM fraction of normal swine serum (NSS) was found to adhere to human peripheral nerve myelin sheaths from randomly selected neuropathies and control nerves in electron microscopic immunocytochemical assays. The reaction could be blocked by preincubation with undiluted fetal calf serum (FCS), whereas endoneurial b...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00688249

    authors: Sommer C,Schröder JM

    更新日期:1988-01-01 00:00:00

  • Increase in SNAP-25 immunoreactivity in the mossy fibers following transient forebrain ischemia in the gerbil.

    abstract::SNAP-25 (a synaptosomal-associated protein of 25 kDa) has been shown to be involved both in synaptic vesicle exocytosis and in axonal outgrowth. In the present study, we investigated the changes in SNAP-25 immunoreactivity in the hippocampus of the Mongolian gerbil (Meriones unguiculatus) at different time points afte...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010050795

    authors: Martí E,Ferrer I,Ballabriga J,Blasi J

    更新日期:1998-03-01 00:00:00

  • Immunochemistry of ethylnitrosourea-induced rat neurinomas, the RN6 neurinoma cell line and their transplantation tumors.

    abstract::The expression of glial fibrillary acidic protein (GFAP), vimentin, S-100 protein (S-100), HNK-1, myelin basic protein (MBP) and fibronectin was investigated immunohistochemically in 51 ethylnitrosourea (ENU)-induced neurinomas of the rat. Additionally, 90 transplantation tumors derived from ENU-induced neurinomas and...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00310927

    authors: Vogeley KT,Bilzer T,Reifenberger G,Wechsler W

    更新日期:1991-01-01 00:00:00

  • Increased expression of the putative axon growth-repulsive extracellular matrix molecule, keratan sulphate proteoglycan, following traumatic injury of the adult rat spinal cord.

    abstract::Keratan sulphate proteoglycan (KSPG) is a developmentally regulated barrier molecule, directing axonal growth during central nervous system (CNS) formation. The possible re-expression and functional significance of KSPG in preventing axon regeneration following spinal cord injury (SCI) is poorly understood. In the pre...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-002-0589-6

    authors: Krautstrunk M,Scholtes F,Martin D,Schoenen J,Schmitt AB,Plate D,Nacimiento W,Noth J,Brook GA

    更新日期:2002-12-01 00:00:00

  • Amyloid in the brains of aged squirrel monkeys.

    abstract::In this immunocytochemical study, the brains of nine squirrel monkeys (Saimiri sciureus), ranging from 8 to 27 years of age, were examined for the presence and distribution of beta/A4 amyloid, a 4-kilodalton peptide. In aged squirrel monkeys, amyloid is associated primarily with intracerebral and meningeal capillaries...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00307691

    authors: Walker LC,Masters C,Beyreuther K,Price DL

    更新日期:1990-01-01 00:00:00

  • Chronic electrostimulation after nerve repair by self-anastomosis: effects on the size, the mechanical, histochemical and biochemical muscle properties.

    abstract::This study tests the effects of chronic electrostimulation on denervated/reinnervated skeletal muscle in producing an optimal restoration of size and mechanical and histochemical properties. We compared tibialis anterior muscles in four groups of rats: in unoperated control (C) and 10 weeks following nerve lesion with...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-006-0035-2

    authors: Marqueste T,Decherchi P,Desplanches D,Favier R,Grelot L,Jammes Y

    更新日期:2006-06-01 00:00:00