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Abstracts of the 8th Meeting of the Italian Peripheral Nerve Study Group: 27
Author(s) -
Pazzaglia C,
Padua L,
Mazza S,
Aprile I,
Caliandro P,
Sabatelli M,
Tonali P
Publication year - 2003
Publication title -
journal of the peripheral nervous system
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1
H-Index - 67
eISSN - 1529-8027
pISSN - 1085-9489
DOI - 10.1046/j.1529-8027.2003.00027.x
Subject(s) - medicine , cranial nerves , peripheral , peripheral nervous system , disease , sensory system , peripheral nerve , anesthesia , surgery , pathology , central nervous system , anatomy , neuroscience , biology
It is well known that exposure to toxic substances may induce peripheral and central neurological complications but no cases of acute cranial nerve involvement are reported after single, although massive, exposure to toxic agents. Cranial multineuropathy is an uncommon occurrence. We observed two atypical cases of multinevritis of cranial nerves with mild sensory symptoms at limbs. Both patients had many common features: acute onset, occurrence of neuropraxic block in cranial nerves, and rapid clinical and neurophysiological recovery after corticosteroid therapy. In both cases, the strict time correlation between substance inhalation and acute onset of symptoms suggested a toxic origin of the disease. We emphasize that multinevritis of cranial nerves could be related to acute exposure of toxic substances. Missing this diagnosis could lead to a delay in treatment.