[Adie's syndrome and polyneuropathy: apropos of a new case and a case of pupillotonia, polyneuropathy and generalized amyloidosis sparing the nerve]

Ann Med Interne (Paris). 1984;135(1):39-42.
[Article in French]

Abstract

The association of Adie's syndrome and of neuropathy of chronic evolution is not a frequent occurrence; first made known by Togi in 1967, four cases have been described ever since. The authors report two new observations: one concerns a man showing a unilateral tonic pupil associated to sensory neuropathy, raised C.S.F. protein, rarefaction of myelinated fibres with schwannian proliferation, without amyloid deposit. The other is that of a woman affected with bilateral pupillotonia, motor neuropathy of the four limbs and generalized amylosis. If the first observation is comparable to the five cases reported, the second is more questionable: the absence of amyloid deposit on three nerve biopsies and at the ciliary ganglion level does not absolutely exclude the possibility of amyloid neuropathy.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adie Syndrome / diagnosis*
  • Adie Syndrome / pathology
  • Aged
  • Amyloidosis / diagnosis*
  • Amyloidosis / pathology
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Nerve Fibers / pathology
  • Neural Conduction
  • Polyneuropathies / diagnosis*
  • Polyneuropathies / pathology
  • Pupil / physiopathology