- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
Hypertrophic Lumbosacral Nerve Roots in a 19-Year-Old Woman with Chronic Inflammatory Demyelinating Polyneuropathy | ||
| Kirkuk Journal of Medical Sciences | ||
| Volume 13, Issue 2, July 2025, Pages 95-96 PDF (1.15 M) | ||
| Document Type: Image in Clinical Practice | ||
| DOI: 10.32894/kjms.2025.164609.1186 | ||
| Authors | ||
| Muna Abdul Ghani Zghair1; Wassan Nori* 2; Ahmed Atia3 | ||
| 1Department of Radiology, College of Medicine, Mustansiriyah University, Baghdad, Iraq | ||
| 2Department of Obstetrics and Gynecology, College of Medicine, Mustansiriyah University, Baghdad, Iraq | ||
| 3Department of Anesthesia and Intensive Care, Faculty of Medical Technology, The University of Tripoli, Tripoli, Libya | ||
| Abstract | ||
| Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is an acquired immune-mediated neuropathy that rarely affects adolescents. We report a 19-year-old woman with a three-month history of progressive symmetrical limb weakness, sensory loss, gait disturbance, and global areflexia. Nerve conduction studies demonstrated acquired demyelinating polyneuropathy with conduction block and temporal dispersion, favouring CIDP over hereditary or neoplastic mimics. Lumbar spine MRI on a 1.5-T system revealed diffuse hypertrophic thickening of the lumbosacral nerve roots from L2 to S1, near-complete obliteration of the spinal canal, loss of cerebrospinal fluid signal, and posterior vertebral body scalloping. Despite the absence of contrast-enhanced and fat-suppressed sequences, the imaging and electrophysiological findings supported a diagnosis of CIDP. The patient showed marked clinical improvement after corticosteroid therapy. This case highlights the importance of considering CIDP in young adults with chronic neuropathy and characteristic MRI features. | ||
| Keywords | ||
| Chronic inflammatory demyelinating polyneuropathy; Hypertrophic lumbosacral nerve roots; Adolescent neuropathy | ||
|
Statistics Article View: 244 PDF Download: 159 |
||