Abnormalities of axonal excitability are not generalized in early multifocal motor neuropathy.

Abstract:

:The clinical and neurophysiological features of multifocal motor neuropathy (MMN) indicate selective involvement of motor axons, but pathological abnormalities in sensory axons suggest a more widespread disease process. The present study was undertaken to determine whether the focal abnormalities are associated with widespread subclinical abnormalities in motor axons. Threshold tracking was used to measure excitability properties (stimulus-response curves, strength-duration properties, recovery cycle, and threshold electrotonus) of the median nerve in five patients with MMN with lesions proximal to the site of testing. Patients were compared with 25 healthy controls. The changes in excitability indices were similar to those in controls, and in one patient there was no alteration after treatment with intravenous gammaglobulin. In this patient, indices of axonal excitability were also measured before, during, and after ischemia of the arm for 10 min. Again no differences were detected. This study provides no evidence for a generalized subclinical abnormality in MMN, at least when disease duration is less than 6 years.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Cappelen-Smith C,Kuwabara S,Lin CS,Burke D

doi

10.1002/mus.10262

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

769-76

issue

6

eissn

0148-639X

issn

1097-4598

journal_volume

26

pub_type

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