ASTASIA-ABASIA REVEALING A PRIMARY SJOGRENS-SYNDROME

A 63-year-old woman presented with mild arthralgias and inability to s tand and walk without other significant neuropsychiatric abnormality. Neurological explorations showed intrathecal oligoclonal immunoglobuli n production in CSF and numerous bright foci at brain MRI. A primary S jogren's syndrome was concomitantly evidenced and was thought to be th e cause of the astasia-abasia symptom by multiple brain involvement. P atient's condition gradually improved with hydroxychloroquine and cort icosteroid therapy. Central nervous system involvement by primary Sjog ren's syndrome is discussed.