| Recurrent diplopia over a 30-year period: natural history of a Lewis and Sumner syndrome. | |
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MedLine Citation:
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PMID: 22426656 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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We described the case of a patient with recurrent episodes of isolated diplopia over the last 30 years. On her last event, neurological examination revealed not only a right third and sixth cranial nerves involvement, but also a right peripheral facial palsy and a motor weakness on the left ulnar territory. Electrophysiological nerves motor conduction study revealed a conduction block on the left ulnar nerve and a less severe on the right ulnar nerve. Asymmetrical upper limb sensorimotor weakness combined with conduction block and cranial nerves palsy led to a diagnosis of Lewis and Sumner syndrome (LSS). This case is unusual by the presentation of the disease and is, to our knowledge the longer natural disease course of LSS reported. Moreover, it suggests that the recurrent diplopia variant may represent a separate entity with a good prognosis even in absence of invasive treatment. |
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Authors:
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Romain Lefaucheur; Jean Paul Bouwyn; David Wallon; Anne-Laure Bedat-Millet; Patrick Ahtoy; Guillaume Perot; Didier Hannequin; David Maltête |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-19 |
Journal Detail:
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Title: Acta neurologica Belgica Volume: - ISSN: 0300-9009 ISO Abbreviation: Acta Neurol Belg Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-3-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0247035 Medline TA: Acta Neurol Belg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Neurology, Rouen University Hospital and University of Rouen, 76031, Rouen Cedex, France, romain.lefaucheur@chu-rouen.fr. |
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