{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:51:48Z","timestamp":1777877508349,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T00:00:00Z","timestamp":1563926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Neurohospitalist"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>Clinical diagnosis often focuses on identifying the single cause of a patient\u2019s symptoms but it is becoming increasingly recognized that a subset of patients exist where 2 pathological entities coexist. These patients present a particular diagnostic challenge because the first \u201cpositive\u201d diagnostic test is not the definitive stopping point in their evaluation. Here, we present the case of a 47-year-old woman with multiple cranial neuropathies and a polyradiculopathy. A significant pleocytosis in the cerebrospinal fluid sparked a broad evaluation which revealed pathologic evidence of sarcoidosis and molecular evidence of neurofascin (NF)-155 and NF-140 antibodies. The pathogenic contribution of these 2 pathologic entities, or interaction, to this patient\u2019s case is not clear. Nevertheless, the patient responded robustly to steroids and symptoms significantly improved. This case is a demonstration of the balance between Occam\u2019s razor and Hickam\u2019s dictum in clinical practice.<\/jats:p>","DOI":"10.1177\/1941874419865640","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T11:42:46Z","timestamp":1563968566000},"page":"118-120","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["An Atypical and Multifactorial Acute Immune Polyradiculopathy: A Case Report"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5987-8705","authenticated-orcid":false,"given":"Matthew R.","family":"Brier","sequence":"first","affiliation":[{"name":"Department of Neurology, School of Medicine, Washington University in St Louis, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elyse A.","family":"Everett","sequence":"additional","affiliation":[{"name":"Department of Neurology, School of Medicine, Washington University in St Louis, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Bucelli","sequence":"additional","affiliation":[{"name":"Department of Neurology, School of Medicine, Washington University in St Louis, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,7,24]]},"reference":[{"key":"bibr1-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e3181c92a72"},{"key":"bibr2-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1097\/CND.0b013e3181ae3be9"},{"key":"bibr3-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2012.03.042"},{"key":"bibr4-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1084\/jem.20071053"},{"key":"bibr5-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1111\/cen3.12444"},{"key":"bibr6-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26010"},{"key":"bibr7-1941874419865640","doi-asserted-by":"publisher","DOI":"10.5692\/clinicalneurol.cn-000964"},{"key":"bibr8-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2017.11.035"},{"key":"bibr9-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1212\/NXI.0000000000000149"},{"key":"bibr10-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002418"},{"key":"bibr11-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneuroim.2016.10.013"},{"key":"bibr12-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1002\/acn3.248"},{"key":"bibr13-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004773"},{"key":"bibr14-1941874419865640","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31827689ad"}],"container-title":["The Neurohospitalist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941874419865640","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1941874419865640","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941874419865640","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:53:15Z","timestamp":1777589595000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1941874419865640"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,24]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1177\/1941874419865640"],"URL":"https:\/\/doi.org\/10.1177\/1941874419865640","relation":{},"ISSN":["1941-8744","1941-8752"],"issn-type":[{"value":"1941-8744","type":"print"},{"value":"1941-8752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,24]]}}}