Abstract
The article presents an analysis of the clinical occurrence of development of chronic polyradiculoneuropathy associated with monoclonal IgG/k (kappa) gammopathy of the undetermined significance. The peculiarity of this occurrence is the uniqueness of the development of the symptoms which are characteristic of tabes dorsalis in this pathology with episodic severe visceral crises and also with ganglionopathy. The example describes the clinical polymorphism of the course of visceral crises, the problems of their diagnosis and as a consequence of inadequate treatment with the development of severe social maladaptation. The importance of timely diagnosis and treatment of such conditions is discussed.
MeSH terms
-
Adult
-
Facial Nerve Diseases / complications
-
Facial Nerve Diseases / diagnosis*
-
Facial Nerve Diseases / physiopathology
-
Facial Nerve Diseases / therapy
-
Female
-
Humans
-
Immunoglobulin G / blood
-
Midodrine / therapeutic use
-
Monoclonal Gammopathy of Undetermined Significance / complications
-
Monoclonal Gammopathy of Undetermined Significance / diagnosis*
-
Monoclonal Gammopathy of Undetermined Significance / physiopathology
-
Monoclonal Gammopathy of Undetermined Significance / therapy
-
Plasmapheresis
-
Polyradiculoneuropathy / complications
-
Polyradiculoneuropathy / diagnosis*
-
Polyradiculoneuropathy / physiopathology
-
Polyradiculoneuropathy / therapy
-
Pregabalin / therapeutic use
-
Tabes Dorsalis / complications
-
Tabes Dorsalis / diagnosis*
-
Tabes Dorsalis / physiopathology
-
Tabes Dorsalis / therapy
-
Tramadol / therapeutic use
Substances
-
Immunoglobulin G
-
Tramadol
-
Pregabalin
-
Midodrine