Chronıc lnflammatory Demyelinating Polyneuropathy Asso-ciated with Steroid lnduced Central Serous Chorioretinopathy

Abstract

Background: The differential diagnosis of chronic inflammatory demyelinating polyneuropathy and other demyelinating diseases, such as multiple sclerosis, might be difficult in some patients. Objective: To evaluate a case of chronic inflammatory demyelinating polyneuropathy (CJDP) occuring with slight progression of sensorydisturbances and additional loss of vision attack in both eyes, after two months of steroid treatment. Material and Methods: Along with routine neurologic examination,biochemical screen, spinal fluid analysis, cranial and cervical magnetic resonance imaging, electrodiagnostic studies were applied. Following loss of vision in both eyes of the patient, ophthalmologic analysis including routine ophthalmologic examination, fundus fluorescein angiography and pattern visual evoked potential (VEP) was conducted.Results: Detailed neurologic and ophthalmologic examinations confirmed CJDP and central serous retinopathy (CSR) diagnosis. Conclusion: It should be beared in mind that in the course of neurologic diseases requiring steroid treatment central serous retinopathy can develop and patients describing visual loss during treatment should beevaluated from the point of view.