A case report of spinal cord edema and cervical spondylosis masquerading as chronic inflammatory demyelinating polyneuropathy (CIDP) | [National Journal of Health Sciences • 2023]

Author(s):

1. Muhammad Sohail Ajmal Ghoauri: Department of Neurology, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Bahawalpur, Pakistan

2. Nauman Ismat Butt: Department of Medicine & Allied, Azra Naheed Medial College, Superior University, Kot Arian, Lahore, Pakistan.

3. Dur-e-Sabeh: Department of Medicine, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Bahawalpur, Pakistan

4. Muhammad Bilal Rasheed: Department of Medicine & Allied, Azra Naheed Medial College, Superior University, Kot Arian, Lahore, Pakistan.

5. Muhammad Umair Javed: Department of Pulmonology, Bahawal Victoria Hospital, Quaid-e-Azam Medical College, Bahawalpur, Pakistan

6. Faizan Ali Khan: Department of Medicine & Allied, Azra Naheed Medial College, Superior University, Kot Arian, Lahore, Pakistan.

Abstract:

A 64-year-old previously-healthy male presented with 2-year history of progressive neurological symptoms of numbness and muscle weakness involving all 4 limbs. There was gait disturbance, urinary and fecal incontinence. On examination, the left upper limb had normal tone, diminished deep tendon reflexes and power of 4/5 with wasting both in proximal and distal muscles. There were reduced pinprick pain and temperature sensations below the elbow bilaterally with intact vibration and proprioception. Both lower limbs had increased tone, diminished deep tendon reflexes, power of 3/5 with wasting both in proximal and distal muscles with unequivocal plantar reflex bilaterally. There were reduced pinprick pain and temperature sensations below the knee on right and below the ankle on left with intact vibration and proprioception. Nerve Conduction Studies (NCS) were done which showed axonal type of denervation in all limbs. MRI scan of Cervical Spine showed T2W hyperintense signals and narrowing of spinal canal from C3 to C7 region. The final diagnosis was spinal cord edema in the cervical region and cervical spondylosis causing spinal cord compression.

Page(s): 137-139

DOI: 10.21089/njhs.83.0137

Published: Journal: National Journal of Health Sciences, Volume: 8, Issue: 3, Year: 2023

Keywords:

Case report , Cervical spondylosis , Nerve Conduction Stud ies NCS , Chronic Inflammatory Demyelinating Polyneuropathy CIDP , Spinal cord edema , MRI scan

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