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Can't raise one eye brow: does it ring any norwegian bells?
A 60 year old Nigerian man with diabetes who has lived in Europe for 30 years but regularly revisits Nigeria, presented with 6 months of numbness and weakness in all four limbs and recent right facial weakness. Examination revealed partial right facial and left ulnar nerve palsies with areflexia but no skin lesions. Neurophysiology showed multifocal mixed sensory-motor neuropathy with demyelinating features and prominent facial nerve involvement. He was found to be HIV positive. Subsequent examination revealed peripheral nerve thickening confirmed on limb MRI. Nerve biopsy showed chronic endoneuritis and perineuritis, but ...
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 14, 2016 Category: Neurosurgery Authors: Galtrey, C., Schon, F., Modarres, H., Rossor, A., Lockwood, D., Reilly, M., Manji, H. Tags: Immunology (including allergy), HIV/AIDS, Tropical medicine (infectious diseases), Neuropathology, Radiology, Surgical diagnostic tests ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research