The Korean Journal of Pain  2007;20(2):208-212

doi:10.3344/kjp.2007.20.2.208

Peripheral Neuropathy in a Patient with Churg-Strauss Syndrome: A case report.

Jun Hwa LEE 1 ; Jeong Hyun LEE ; Young Kwon GO ; Won Hyung LEE

Affiliations

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Keywords

Churg-Strauss syndrom; herniated intervertebral disc; peripheral neuropathy

Country

Republic of Korea

Language

Korean

Abstract

Although Churg-Strauss syndrome (CSS) is a rare disease that is generally associated with vasculitis, nerve involvement is also common in cases of CSS. A 48-year old man was diagnosed with a herniated disc at L4-5 and an annular tear at L5-S1 after complaining of pain and numbness in the left lower leg. Peripheral edema was observed during physical examination and the patient was diagnosed with CSS after a biopsy was conducted. In addition, electromyography and nerve conduction velocity revealed the presence of multiplex mononeuropathy, which indicated the pain and numbness was due to peripheral neuropathy caused by CSS. The symptoms were relieved after oral administration of prednisolone. This case indicates that when symptoms of peripheral neuropathy do not match the radiographic evidence other causes, such as CSS, must be considered.