Neurologic disease in Sjögren's syndrome: mononuclear inflammatory vasculopathy affecting central/peripheral nervous system and muscle. A clinical review and update of immunopathogenesis

Rheum Dis Clin North Am. 1993 Nov;19(4):869-908.


There is a growing appreciation that a subset of patients with primary Sjögren's syndrome (SS) also may develop a spectrum of central nervous system (CNS) complications. This article defines SS and its significance; discusses CNS, peripheral nervous system, and muscular complications of SS; identifies those areas in general or internal medicine in which SS patients with potential neurologic complications may present; describes those neurologic disorders that SS may mimic; places into perspective the controversy regarding the frequency and significance of CNS-SS; and extends our observations on the immunopathogenesis of neurologic complications in SS.

Publication types

  • Review

MeSH terms

  • Autoantibodies
  • Central Nervous System Diseases / immunology*
  • Humans
  • Muscular Diseases / immunology*
  • Peripheral Nervous System Diseases / immunology*
  • Sjogren's Syndrome / complications*
  • Vasculitis / immunology*


  • Autoantibodies