Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) as rare differential diagnosis of a dropped head syndrome
S Haegele-Link, J Bohl, P Karajanev, PP Urban · Klinische Neurophysiologie · 2006 · Heft 03
Bibliografische Angaben
Zusammenfassung
We report a 63 year-old patient with slowly progressive weakness of the neck extensor muscles developing a dropped head syndrome over a 12 months period. Clinical examination also revealed atrophic paresis of the shoulder and proximal upper limb muscles, weakness of the orofacial muscles, dysarthria and dysphagia. Tendon reflexes of the lower limbs were bilaterally exaggerated with bilaterally extensor plantar responses. Concentric needle electromyography (EMG) revealed denervation in the tongue, paravertebral and sternocleidomastoid muscles and chronic neurogenic changes of the motor unit potentials of the uppe…