Persistent multifocal conduction block in vasculitic neuropathy with IgM anti-gangliosides.

Abstract:

:A 30-year-old man with essential cryoglobulinemia presented with an axonal neuropathy and was found to have vasculitis at nerve biopsy. After 44 months, in accord with clinical deterioration, motor conduction studies showed excessive temporal dispersion multifocally, with partial conduction block persisting for 3 years. Antibody testing showed the presence of IgM anti-GM1, anti-GD1a, and anti-GM2 antibodies. Transitory conduction block has been reported occasionally in patients with vasculitis. The persistent multifocal conduction abnormalities found in this patient were more likely due to a superimposed immunomediated demyelination rather than to chronic nerve ischemia secondary to vasculitis.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Notturno F,Caporale CM,Di Muzio A,Uncini A

doi

10.1002/mus.20778

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

547-52

issue

4

eissn

0148-639X

issn

1097-4598

journal_volume

36

pub_type

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