igg4相关周围神经病变伴单侧颈神经根及臂丛肿胀1例报告。

IF 0.6 Q4 CLINICAL NEUROLOGY Case Reports in Neurology Pub Date : 2022-08-16 eCollection Date: 2022-05-01 DOI:10.1159/000525908

Monami Tarisawa, Takahiro Kano, Daiki Tanaka, Masanao Yoshino, Hideki Houzen

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摘要

64岁男性，左上肢无力、感觉不良4个月。磁共振成像显示肿胀从6 -8左颈神经根到左臂丛。血清IgG4水平升高(762.7 mg/dL)。18F-FDG-PET显示纵隔淋巴结高摄取，活检显示igg4阳性浆细胞浸润。我们诊断为igg4相关的神经病变，类固醇治疗改善了症状。周围神经肿胀的鉴别诊断应考虑igg4相关疾病。如果病变神经活检困难，应考虑淋巴结或其他器官。

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IgG4-Related Peripheral Neuropathy with Unilateral Cervical Nerve Root and Brachial Plexus Swelling: A Case Report.

A 64-year-old man presented with left upper limb weakness and dysesthesia for 4 months. Magnetic resonance imaging demonstrated swelling from the 6th-8th left cervical nerve roots to the left brachial plexus. The serum IgG4 level was elevated (762.7 mg/dL). ¹⁸F-FDG-PET showed high uptake in the mediastinal lymph nodes, and biopsy revealed infiltration of IgG4-positive plasma cells. We diagnosed IgG4-related neuropathy, and steroid therapy administration improved the symptoms. IgG4-related disease should be considered in the differential diagnosis of peripheral nerve swellings. If biopsy of the disordered nerves is difficult, lymph nodes or other organs should be considered.

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来源期刊

Case Reports in Neurology Medicine-Neurology (clinical)

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

14 weeks

期刊介绍： This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.