Polirradiculoneurite recidivante: relato de dois casos

Marchiori, Paulo E.; Scaff, Milberto; Callegaro, Dagoberto; Zambon, Antonio A.; Assis, José Lamartine de

doi:10.1590/S0004-282X1983000200011

Resumos

São relatados dois casos com polirradiculoneurite recidivante com dissociação proteinocitológica no líquido cefalorraqueano. São discutidos os aspectos imunológicos e a história natural da polirradiculoneurite recidivante, sendo esta admitida como uma entidade nosológica própria, independente da polirradiculoneurite aguda.

Two cases of patients with relapsing polyradiculoneuropathy with high protein level in cerebrospinal fluid are reported. The immunological features and the natural history of the relapsing polyradiculoneuropathy are discussed. This disease is considered a particular auto-immune nosologic condition, independent from acute polyradiculoneuropathy.

Polirradiculoneurite recidivante. Relato de dois casos

Recurrent polyradiculoneuropathy: report of two cases

Paulo E. Marchiori^I; Milberto Scaff^II; Dagoberto Callegaro^I; Antonio A. Zambon^IV; José Lamartine de Assis^III

^IAssistente. Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo

^IILivre-docente. Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo

^IIIProfessor adjunto. Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo

^IVPreceptor. Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo

RESUMO

São relatados dois casos com polirradiculoneurite recidivante com dissociação proteinocitológica no líquido cefalorraqueano. São discutidos os aspectos imunológicos e a história natural da polirradiculoneurite recidivante, sendo esta admitida como uma entidade nosológica própria, independente da polirradiculoneurite aguda.

SUMMARY

Two cases of patients with relapsing polyradiculoneuropathy with high protein level in cerebrospinal fluid are reported. The immunological features and the natural history of the relapsing polyradiculoneuropathy are discussed. This disease is considered a particular auto-immune nosologic condition, independent from acute polyradiculoneuropathy.

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Trabalho realizado na Divisão de Neurologia do Departamento de Neuropsiquiatria da Faculdade de Medicina da Universidade de São Paulo.

Divisão de Clínica Neurológica - Hospital das Clínicas - Caixa Postal 8091 - 01000 São Paulo. SP - Brasil.

1. ARNASON, B. G. W. - Inflamatory polyradiculoneuropathies in Dyck, P. J.; Thomas P. K. & Lambert E. H. (eds.) - Peripheral Neuropathy. Saunders. Philadelphia, 1975, pg. 1110.
2. ASHWORTH, B. & SMYTH, G. E. - Relapsing motor polyneuropathy. Acta neurol. scand. 45:342, 1969.
3. AUSTIN, J. H. - Recurrent polyneuropathies and their corticosteroid treatment with five-year observations of a placebo-controlled case treated with corticoptrophin, cortisone, and prednisone. Brain 81:157, 1958.
4. BORIT, A. & ALTROCCHI, P. H. - Recurrent polyneuropathy and neurolym-phomatosis. Arch. Neurol. (Chicago) 24:40, 1971.
5. BOSHES, B. & SHERMAN, I. C. - Variability of the course of the Guillain-Barré syndrome. Neurol. (Minneapolis) 3:789, 1953.
6. CAMBIER, J. & SCHOTT, B. - Nosologie des polyradiculoneurites inflamatoires. Rev. neurol. (Paris) 115:811, 1966.
7. DALAKAS, M. C. & ENGEL, W. K. - Immunoglobulin and complement deposits in nerves of patients with chronic relapsing polyneuropathy. Arch. Neurol. (Chicago) 37:637, 1980.
8. DALAKAS, M. C. & ENGEL, W. K. - Chronic relapsing (dysimmune) polyneuropathy: pathogenesis and treatment. Ann. Neurol. 9:134, 1981.
9. De'VIVO, D. C. & ENGEL, W. K. - Remarkable recovery of a steroid-responsive recurrent polyneuropathy. J. Neurol. Neurosurg. Psychiat. 33:62, 1970.
10. DYCK, P. J.; LAIS, A. C; OHTA, M.; BASTRON, J. A.; OKAZAKI, H. & GROOVER, R. V. - Chronic inflamatory polyradiculoneuropathy. Mayo Clin. Proc. 50:621, 1975.
11. FISHER, M. - An unusual variant of acute idiopathic polyneuritis (syndrome of ophtalmoplegia, ataxia and areflexia). New England J. Med. 255:57, 1956.
12. HAYMAKER, W. & KERNOHAN, J. W. - The Landry-Guillain-Barré syndrome: a clinico-pathologic report of fifty fatal cases and a critique of the literature. Medicine 28:58, 1949.
13. JANE WAY, R. & KELLY, D. L. - Papilledema and hydrocephalus associated with recurrent polyneuritis. Arch. Neurol. (Chicago) 15:507, 1966.
14. KERSTING, G. - L'aspect anatomo-pathologique des polynévrites expérimentales. Rev. neurol. (Paris) 115:843, 1966.
15. LUIJTEN, J. A. F. M. & DE LA FAILLE-KUYPER, E. H. B. - The occurrence of IgM and complement factors along myelin sheaths of peripheral nerves: an immunohistochemical study of the Guillain-Barré syndrome. J. neurol. Sci., 15:219, 1972.
16. MATTE WS, W. B.; HOWELL, D. A. & HUGHES, R. C. - Relapsing corticosteroid dependent polyneuritis. J. Neurol. Neurosurg. Psychiat. 33:330,1970.
17. MUNSAT, T. L. & BARNES, T. E. - Relation of multiple cranial nerve dysfunction to the Guillain-Barré syndrome. J. Neurol. Neurosurg. Psychiat. 28:115, 1965.
18. PLEASURE, D. E.; LOVELAGE, R. E. & DUVOISIN, R. C. - The prognosis of acute polyradiculoneurites. Neurology (Minneapolis) 18:1143, 1968.
19. PRINEAS, J. W. & MCLEOD, J. G. - Chronic relapsing polyneuritis. J. neurol. Sci. 27:427, 1976.
20. SCHALTENBRAND, G. & BAMMER, H. - Les polyradiculonévrites d'etiologie indéterminée: la clinique et le traitement des polynévrites inflammatoires ou séreuses aiguës. Rev. neurol. (Paris) 115:783, 1966.
21. THOMAS, P. K.; LASCELLES, R. G.; HALLPIKE, J. F. & HEWER, R. L. - Recurrent and chronic relapsing Guillain-Barré polyneuritis. Brain 92:589, 1969.

Datas de Publicação

Publicação nesta coleção
14 Ago 2012
Data do Fascículo
Jun 1983

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ARNASON, B. G. W. - Inflamatory polyradiculoneuropathies in Dyck, P. J.; Thomas P. K. & Lambert E. H. (eds.) - Peripheral Neuropathy. Saunders. Philadelphia, 1975, pg. 1110.

[2] 2. ASHWORTH, B. & SMYTH, G. E. - Relapsing motor polyneuropathy. Acta neurol. scand. 45:342, 1969.

[3] 3. AUSTIN, J. H. - Recurrent polyneuropathies and their corticosteroid treatment with five-year observations of a placebo-controlled case treated with corticoptrophin, cortisone, and prednisone. Brain 81:157, 1958.

[4] 4. BORIT, A. & ALTROCCHI, P. H. - Recurrent polyneuropathy and neurolym-phomatosis. Arch. Neurol. (Chicago) 24:40, 1971.

[5] 5. BOSHES, B. & SHERMAN, I. C. - Variability of the course of the Guillain-Barré syndrome. Neurol. (Minneapolis) 3:789, 1953.

[6] 6. CAMBIER, J. & SCHOTT, B. - Nosologie des polyradiculoneurites inflamatoires. Rev. neurol. (Paris) 115:811, 1966.

[7] 7. DALAKAS, M. C. & ENGEL, W. K. - Immunoglobulin and complement deposits in nerves of patients with chronic relapsing polyneuropathy. Arch. Neurol. (Chicago) 37:637, 1980.

[8] 8. DALAKAS, M. C. & ENGEL, W. K. - Chronic relapsing (dysimmune) polyneuropathy: pathogenesis and treatment. Ann. Neurol. 9:134, 1981.

[9] 9. De'VIVO, D. C. & ENGEL, W. K. - Remarkable recovery of a steroid-responsive recurrent polyneuropathy. J. Neurol. Neurosurg. Psychiat. 33:62, 1970.

[10] 10. DYCK, P. J.; LAIS, A. C; OHTA, M.; BASTRON, J. A.; OKAZAKI, H. & GROOVER, R. V. - Chronic inflamatory polyradiculoneuropathy. Mayo Clin. Proc. 50:621, 1975.

[11] 11. FISHER, M. - An unusual variant of acute idiopathic polyneuritis (syndrome of ophtalmoplegia, ataxia and areflexia). New England J. Med. 255:57, 1956.

[12] 12. HAYMAKER, W. & KERNOHAN, J. W. - The Landry-Guillain-Barré syndrome: a clinico-pathologic report of fifty fatal cases and a critique of the literature. Medicine 28:58, 1949.

[13] 13. JANE WAY, R. & KELLY, D. L. - Papilledema and hydrocephalus associated with recurrent polyneuritis. Arch. Neurol. (Chicago) 15:507, 1966.

[14] 14. KERSTING, G. - L'aspect anatomo-pathologique des polynévrites expérimentales. Rev. neurol. (Paris) 115:843, 1966.

[15] 15. LUIJTEN, J. A. F. M. & DE LA FAILLE-KUYPER, E. H. B. - The occurrence of IgM and complement factors along myelin sheaths of peripheral nerves: an immunohistochemical study of the Guillain-Barré syndrome. J. neurol. Sci., 15:219, 1972.

[16] 16. MATTE WS, W. B.; HOWELL, D. A. & HUGHES, R. C. - Relapsing corticosteroid dependent polyneuritis. J. Neurol. Neurosurg. Psychiat. 33:330,1970.

[17] 17. MUNSAT, T. L. & BARNES, T. E. - Relation of multiple cranial nerve dysfunction to the Guillain-Barré syndrome. J. Neurol. Neurosurg. Psychiat. 28:115, 1965.

[18] 18. PLEASURE, D. E.; LOVELAGE, R. E. & DUVOISIN, R. C. - The prognosis of acute polyradiculoneurites. Neurology (Minneapolis) 18:1143, 1968.

[19] 19. PRINEAS, J. W. & MCLEOD, J. G. - Chronic relapsing polyneuritis. J. neurol. Sci. 27:427, 1976.

[20] 20. SCHALTENBRAND, G. & BAMMER, H. - Les polyradiculonévrites d'etiologie indéterminée: la clinique et le traitement des polynévrites inflammatoires ou séreuses aiguës. Rev. neurol. (Paris) 115:783, 1966.

[21] 21. THOMAS, P. K.; LASCELLES, R. G.; HALLPIKE, J. F. & HEWER, R. L. - Recurrent and chronic relapsing Guillain-Barré polyneuritis. Brain 92:589, 1969.