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278 Possible Causes for Congestive Heart Failure, Extremity Ataxia, Progressive Polyneuropathy

  • Chronic Alcoholism

    Wernicke-Korsakoff syndrome (ataxia, confusion, ophthalmoplegia), amnesic problems, peripheral neuropathy and dementia.[] Alcohol use disorder is a chronic disease not unlike diabetes or congestive heart failure .[] Investigations Alcohol level is useful in acute comatose state: Alcohol level 300 mg/100 ml extreme intoxication (drowsiness and then coma).[]

  • Pernicious Anemia

    We describe a case of a young black woman with gradually progressive lower extremity paresthesias, weakness, and ataxia as the primary presenting symptoms of pernicious anemia[] We present the unusual case of vitiligo associated with pernicious anemia in a patient who presented to the hospital because of hyperdynamic congestive heart failure.[] ), ataxia and positive Babinski reflexes.[]

  • Thiamine Deficiency

    Nerve conduction studies were consistent with axonal, length-dependent polyneuropathy.[] Hyperlactataemia due to thiamine deficiency has so far only been reported in the setting of full-blown cardiovascular beriberi with congestive heart failure and systemic vasodilatation[] The case is reported of a patient with acute myeloid leukemia with severe right-sided congestive heart failure that responded to treatment with thiamine.[]

  • Vitamin B12 Deficiency

    peripheral neuropathy, and spinal degeneration.[] In later stages, spasticity, extensor plantar responses, greater loss of position and vibratory sensation in the lower extremities, and ataxia emerge.[] heart failure, such as ankle edema, orthopnea and nocturia.[]

  • Vasculitis

    Neuropathy Sensory or Sensory-Motor General patterns Mononeuritis multiplex (13%) Asymmetric polyneuropathy (85%) Distal symmetric polyneuropathy (2%) More slowly progressive[] Vasculitis affecting the heart, however, can cause congestive heart failure.[] Vasculitis affecting the heart can cause congestive heart failure .[]

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Shortly after HSCT the patient developed progressive polyneuropathy of the lower legs and hypoesthesia. Five months later a severe dementia followed.[] On admission, the patient exhibited bifacial, extremity weakness, ataxia, impaired sensation, and areflexia. Electrophysiology and nerve biopsy suggested demyelination.[] heart failure, malignancies, and demyelination of the central and peripheral nervous systems. 2,3 Peripheral neuropathies are also uncommon manifestations of Crohn’s disease[]

  • Diabetic Polyneuropathy

    Ms Q is a 52-year-old woman who has had progressive polyneuropathy in the setting of diabetes for the past 8 years.[] Deep tendon reflexes were symmetric and graded 2 in all extremities.[] Congestive heart failure. Genitourinary: Impotence, retrograde ejaculation, urinary hesitancy, overflow incontinence.[]

  • Subacute Combined Degeneration of Spinal Cord

    Case Presentation: A 28‐year‐old nursing student with a history of bipolar disorder presented to Tucson Medical Center with symptoms of ataxia and bilateral lower‐extremity[] heart failure GI manifestations of Vit B12 deficiency Beefy, red, smooth, and sore tongue Loss of papillae that is more pronounced along edges Hematologic manifestations[] He presented acutely with tremors, diaphoresis, insomnia, ataxia (progressive over the last three months), lower extremity paresthesias, decreased somatosensory perception[]

  • Paraneoplastic Syndrome

    Cerebellar symptoms : ataxia, unsteady gait, dysdiadochokinesia, intention tremor Note that symptoms often emerge months before the discovery of a primary tumor ![] One should exercise caution and administer smaller volumes of isotonic saline in patients with congestive heart failure or anuric renal failure, as they can become volume[] We report a fatal case of severe chronic progressive axonal polyradiculoneuropathy in association with this antibody.[]

  • Guillain-Barré Syndrome

    Guillain-Barré syndrome is a rare condition in pregnancy which is characterised by symmetrical progressive ascending polyneuropathy.[] , and loss of deep tendon reflexes with relative sparing of strength in the extremities and trunk.[] IVIg expands the plasma volume so it must be administered with caution in patients with congestive heart failure and renal insufficiency.[]

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