Rinsho Shinkeigaku (Clinical Neurology)

Brief Clinical Note

A case of Churg-Strauss syndrome presenting with lower cranial neuropathy

Takuya Shimada, M.D.1), Ryogen Sasaki, M.D., Ph.D.1), Yuichiro Ii, M.D.1), Akira Taniguchi, M.D.1), Yukito Ueda2) and Hidekazu Tomimoto, M.D., Ph.D.1)

1)Department of Neurology, Mie University Hospital
2)Rehabilitation Units, Mie University Hospital

We reported a 60 year-old man with Churg-Strauss syndrome (CSS). Three months later, he presented with dysarthria, dysphagia and severe headache. We detected glossopharyngeal and vagal nerve palsy, and made a diagnosis of cranial nerve involvement comorbid with CSS. Intravenous administration of methypredonisolone was effective for alleviating clinical signs and symptoms. Two months later, he complained of headache and facial numbness, but symptoms improved with an escalating dose of prednisolon. As compared to previously reported cases, our case was characteristic because of involvement of lower cranial nerve with CSS, which has been reported previously in only one case.
Full Text of this Article in Japanese PDF (307K)

(CLINICA NEUROL, 52: 507|510, 2012)
key words: Churg-Strauss syndrome, dysphagia, headache, glossopharyngeal nerve palsy, vagal nerve palsy

(Received: 13-Jan-12)