Update on the treatment of chronic inflammatory demyelinating polyradiculoneuropathy.

Abstract:

PURPOSE OF REVIEW:Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a chronic and often disabling neuropathy, which often responds to immune therapies including corticosteroids, plasma exchange, and high-dose intravenous immunoglobulin (IVIg). The reasons for choosing one of these therapies and the factors that may predict response to these therapies remain, however, unclear. It is also unclear whether other immune therapies may be useful in CIDP. We will here review the studies addressing these points in CIDP. RECENT FINDINGS:Recent studies have shown that IVIg are initially more frequently effective than steroids in CIDP even if steroids, when effective, have a more prolonged efficacy. Some clinical and immunological features including the presence of antibodies against proteins at the nodes of Ranvier were associated with specific response to therapy even if the data need to be confirmed in large series of patients. A few anecdotal studies also reported the efficacy in some patients of new immune therapies whose efficacy needs to be confirmed in controlled trials. SUMMARY:IVIg are initially more frequently effective than steroids in CIDP, but the latter have a more prolonged efficacy. Some clinical presentations and their association with specific antibodies reactions may help in predicting the response to specific treatment. The possible benefit of new immune therapies await confirmation from randomized studies.

journal_name

Curr Opin Neurol

authors

Nobile-Orazio E,Gallia F

doi

10.1097/WCO.0000000000000232

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

480-5

issue

5

eissn

1350-7540

issn

1473-6551

journal_volume

28

pub_type

杂志文章,评审
  • Mechanisms of cell death in neurodegenerative and retinal diseases: common pathway?

    abstract::The review intends to draw the attention of researchers working in retinal degenerations on the fact that classical apoptosis, for example, apoptosis triggering caspase activation, may not be the main pathway of cellular demise in this tissue.Former work already showed the difficulty of proving the activation of apopt...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000272

    authors: Torriglia A,Jaadane I,Lebon C

    更新日期:2016-02-01 00:00:00

  • Chlamydia pneumoniae infection of the central nervous system.

    abstract::Chlamydia pneumoniae is a common respiratory pathogen that is now being implicated in a number of chronic diseases. That the organism can infect vascular endothelium, macrophages and smooth muscle cells suggests that it may play a role in many systemic diseases. The present review focuses on the possibility that the c...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200106000-00015

    authors: Yucesan C,Sriram S

    更新日期:2001-06-01 00:00:00

  • Disability following head injury.

    abstract::Disability following head injury varies depending on injury mechanism, neuropathology, and other factors, including medical complications. Mild head injury (Glasgow Coma Scale score 13-15) has been shown to have considerable variability in outcome. Some persons experience rapid symptom resolution whereas others contin...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199310000-00016

    authors: Macciocchi SN,Reid DB,Barth JT

    更新日期:1993-10-01 00:00:00

  • What's new in new technologies for upper extremity rehabilitation?

    abstract:PURPOSE OF REVIEW:The field of new technologies for upper-limb rehabilitation is exploding. The review presents new trends and studies of effectiveness from recent literature regarding robots, virtual reality and telerehabilitation for neurorehabilitation of the upper limb. RECENT FINDINGS:There appears to be a greate...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32833f61ce

    authors: Brochard S,Robertson J,Médée B,Rémy-Néris O

    更新日期:2010-12-01 00:00:00

  • Community integration following severe childhood traumatic brain injury.

    abstract:PURPOSE OF REVIEW:Severe childhood traumatic brain injury (TBI) is the leading cause of death and acquired disability in children, causing impairments in children's sensory-motor, cognitive and behavioural functioning, with devastating consequences on community integration. Community integration is the ultimate goal of...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328340296f

    authors: Chevignard MP,Brooks N,Truelle JL

    更新日期:2010-12-01 00:00:00

  • Huntington's disease: prospects for neuroprotective therapy 10 years after the discovery of the causative genetic mutation.

    abstract:PURPOSE OF REVIEW:Ten years of intensive research are now beginning to bring candidate neuroprotective therapies to clinical trials. This review describes recent progress in basic, preclinical, and clinical research that underlies current and potential neuroprotective trials. RECENT FINDINGS:Basic research continues t...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000084229.82329.03

    authors: Hersch SM

    更新日期:2003-08-01 00:00:00

  • Epilepsy classification: a cycle of evolution and revolution.

    abstract:PURPOSE OF REVIEW:This review presents the new terms and concepts proposed by the International League Against Epilepsy (ILAE) Classification Commission in 2010 to describe seizures and epilepsies. This is the first major revision in 21 years and reflects the rapid evolution in our understanding of the epilepsies. REC...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32835ee58e

    authors: Korff CM,Scheffer IE

    更新日期:2013-04-01 00:00:00

  • Clinical neurophysiology in epilepsy.

    abstract::Recent advances in clinical neurophysiology of epilepsy have enhanced our ability to study the epileptogenic region and have improved the localization of seizures in patients with intractable epilepsy. Computed spike analyses using electroencephalogram or magnetoencephalography superimposed on magnetic resonance image...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199404000-00011

    authors: Masuoka LK,Spencer SS

    更新日期:1994-04-01 00:00:00

  • Fetal tissue transplantation [correction of transplanation] in Parkinson's disease.

    abstract::Since the first successful attempts in 1990, human embryonic tissue transplantation has attracted the attention of multiple investigators and clinicians as a serious candidate therapy for Parkinson's disease. Although over two hundred patients have undergone the procedure, multiple issues and questions remain unresolv...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199808000-00010

    authors: Tabbal S,Fahn S,Frucht S

    更新日期:1998-08-01 00:00:00

  • Neuromuscular problems in the ICU.

    abstract:PURPOSE OF REVIEW:Patients with acute life-threatening neuromuscular disease require close cooperation between neuromuscular and intensive care specialists to achieve the best possible outcomes. The problems encountered by these patients are different from those in traditional neuromuscular practice, and neurologists c...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000480

    authors: Damian MS,Srinivasan R

    更新日期:2017-10-01 00:00:00

  • Effect of inflammation on central nervous system development and vulnerability.

    abstract:PURPOSE OF REVIEW:Preterm infants are at high risk for neurological sequelae and cognitive dysfunction. These problems have been attributed to a high occurrence of central nervous system (CNS) lesions, but suboptimal brain development appears to be just as important. In this brief review we present the hypothesis that ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000162851.44897.8f

    authors: Hagberg H,Mallard C

    更新日期:2005-04-01 00:00:00

  • Asymptomatic carotid stenosis: what to do.

    abstract:PURPOSE OF REVIEW:Patients with asymptomatic carotid stenosis are at increased vascular risk but optimal treatment is controversial. We reviewed the current evidence for medical and surgical intervention in these patients. RECENT FINDINGS:Optimal medical treatment is the most important aspect of management of patients...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328012da60

    authors: Redgrave JN,Rothwell PM

    更新日期:2007-02-01 00:00:00

  • Longitudinal imaging: change and causality.

    abstract:PURPOSE OF REVIEW:Longitudinal studies that use MRI scans performed over multiple time-points have been increasingly employed in the study of different neurological disorders, including degenerative dementia, multiple sclerosis, and epilepsy. RECENT FINDINGS:Although it is well established that increased rates of brai...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32830719d4

    authors: Whitwell JL

    更新日期:2008-08-01 00:00:00

  • Magnetic resonance spectroscopy in toxic encephalopathy and neurodegeneration.

    abstract::Magnetic resonance spectroscopy allows neurochemistry to be probed noninvasively in vivo. Recent advances in our understanding of the biochemical significance of the various neurochemicals that are observable allow a variety of pathologic states of relevance to encephalopathies and neurodegenerative disorders to be ob...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199912000-00016

    authors: Jenkins BG,Kraft E

    更新日期:1999-12-01 00:00:00

  • Spinal dural arteriovenous fistula.

    abstract:PURPOSE OF REVIEW:To summarize clinical key points, diagnostic features, and results of imaging and therapy of spinal dural arteriovenous fistula (SDAVF). RECENT FINDINGS:SDAVF accounts for 70% of spinal arteriovenous malformation with an annual incidence of 5-10 cases per million. At least 80% of patients are male, a...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000200547.22292.11

    authors: Koch C

    更新日期:2006-02-01 00:00:00

  • Peripheral and central eye movement disorders.

    abstract::Continuing advances have rendered the neural control of eye movements one of the best understood motor systems, from molecules to complex behaviors. Nevertheless, new discoveries have required re-evaluation of established concepts, from the genetics of disorders that affect extraocular muscles to the way in which the ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200202000-00008

    authors: Szatmáry G,Leigh RJ

    更新日期:2002-02-01 00:00:00

  • Neuropharmacologic aspects of the ocular motor system and the treatment of abnormal eye movements.

    abstract::Neuropharmacology is aiding our understanding of the control of eye movements in at least three ways. First, neurotransmitters have been identified in the pathways that coordinate gaze. Second, the technique of pharmacologic inactivation has provided a powerful method to determine the contributions of populations of n...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199902000-00004

    authors: Leigh RJ,Ramat S

    更新日期:1999-02-01 00:00:00

  • Drug-induced myopathies.

    abstract::Two major entities continue to be controversial in the field of clinical myotoxicity: the various myopathies that are induced by the cholesterol-lowering agents and the acute quadriplegic myopathy of intensive care. Both conditions are relatively common, but their pathogenesis is unclear. The problematic issues relate...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200010000-00006

    authors: Argov Z

    更新日期:2000-10-01 00:00:00

  • Diabetes, hyperglycemia and the management of cerebrovascular disease.

    abstract:PURPOSE OF REVIEW:Hyperglycemia is frequent in patients with cerebrovascular disease. This review article aims to summarize the recent evidence from observational studies that examined the adverse cerebrovascular effects of dysglycemic states as well as interventional studies assessing intensive management strategies f...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e3283418fed

    authors: Haratz S,Tanne D

    更新日期:2011-02-01 00:00:00

  • Skin biopsy as a diagnostic tool.

    abstract:PURPOSE OF REVIEW:To give an overview of recent data on the use of skin biopsy as a diagnostic tool in neuropathies. RECENT FINDINGS:The sensitivity and specificity of skin biopsy in detecting small fiber neuropathy is supported by new data. In many patients with small fiber neuropathy, a treatable disorder can be ide...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328309000c

    authors: Sommer C

    更新日期:2008-10-01 00:00:00

  • Factors directly affecting impulse transmission in inflammatory demyelinating disease: recent advances in our understanding.

    abstract::Demyelination and inflammation both contribute to the neurological deficits characteristic of multiple sclerosis and Guillain-Barré syndrome. Conduction deficits attributable to demyelination are well known, but it is becoming clear that factors such as nitric oxide, endocaine, cytokines, and antiganglioside antibodie...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200106000-00005

    authors: Smith KJ,Hall SM

    更新日期:2001-06-01 00:00:00

  • The elusive promise of myostatin inhibition for muscular dystrophy.

    abstract:PURPOSE OF REVIEW:Recent terminations of clinical trials of myostatin inhibitors in muscular dystrophy have raised questions about the predictiveness of mouse models for this therapeutic strategy. RECENT FINDINGS:A variety of myostatin inhibitors have been developed for preclinical and clinical studies. These inhibito...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章

    doi:10.1097/WCO.0000000000000853

    authors: Wagner KR

    更新日期:2020-10-01 00:00:00

  • Approaches permitting and enhancing motoneuron regeneration after spinal cord, ventral root, plexus and peripheral nerve injuries.

    abstract::The motoneuron has a strong ability to regenerate after injury. However, the problems of nerve cell survival after a proximal axotomy, difficulty in axonal elongation after intraspinal lesion and the lack of target specificity during nerve fibre regrowth interfere with a good functional restitution. Current research h...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200012000-00012

    authors: Carlstedt T

    更新日期:2000-12-01 00:00:00

  • Paraneoplastic neuropathy: wide-ranging clinicopathological manifestations.

    abstract:PURPOSE OF REVIEW:Recent progress in serological screening for paraneoplastic autoantibodies and diagnostic imaging techniques to detect malignancies has resulted in a broadening of the concept of paraneoplastic neurologic syndromes through the characterization of nonclassical clinical features. The goal of this articl...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32834a87b7

    authors: Koike H,Tanaka F,Sobue G

    更新日期:2011-10-01 00:00:00

  • MRI in multiple sclerosis: clinical and research update.

    abstract:PURPOSE OF REVIEW:Clinical MRI is of paramount importance for multiple sclerosis diagnosis but lacks the specificity to investigate the pathogenic mechanisms underlying disease onset and progression. The application of advanced MR sequences allows the characterization of diverse and complex pathological mechanisms, gra...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000559

    authors: Inglese M,Petracca M

    更新日期:2018-06-01 00:00:00

  • Calcium channel mutations and migraine.

    abstract::An increasing number of mutations in the CACNA1A gene have been identified, which are associated with a broad clinical spectrum, including familial hemiplegic migraine. Transfection studies and mouse model analyses are currently being undertaken to study the correlation between CACNA1A mutations and disease. ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200206000-00014

    authors: Kors EE,van den Maagdenberg AM,Plomp JJ,Frants RR,Ferrari MD

    更新日期:2002-06-01 00:00:00

  • Respiratory failure because of neuromuscular disease.

    abstract:PURPOSE OF REVIEW:Understanding the mechanisms and abnormalities of respiratory function in neuromuscular disease is critical to supporting the patient and maintaining ventilation in the face of acute or chronic progressive impairment. RECENT FINDINGS:Retrospective clinical studies reviewing the care of patients with ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000363

    authors: Howard RS

    更新日期:2016-10-01 00:00:00

  • Update on cluster headache.

    abstract:PURPOSE OF REVIEW:Although cluster headache has traditionally been thought of as a vascular headache disorder, its periodicity suggests an involvement of central areas such as the hypothalamus. This review covers the past 3 years, which have seen remarkable progress in understanding the pathophysiology of circadian hea...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000073934.19076.0e

    authors: May A,Leone M

    更新日期:2003-06-01 00:00:00

  • Advances in ultra-high field MRI for the clinical management of patients with brain tumors.

    abstract:PURPOSE OF REVIEW:The last 5 years have seen the number of ultra-high field (UHF; 7 T and beyond) MRI scanners nearly double. Benefits include improved specificity, better sensitivity for signal-starved compounds, and the ability to detect, quantify, and monitor tumor activity and treatment effects. This is especially ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32834cd495

    authors: Lupo JM,Li Y,Hess CP,Nelson SJ

    更新日期:2011-12-01 00:00:00

  • Update on uveomeningoencephalitides.

    abstract:PURPOSE OF REVIEW:Uveomeningoencephalitides, commonly known as Vogt-Koyanagi-Harada (VKH) disease, are characterized by chronic bilateral granulomatous panuveitis involving the central nervous, auditory and integumentary systems. Visual prognosis is generally favourable, but outcomes in patients with VKH disease may va...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000169753.31321.4e

    authors: Sheu SJ

    更新日期:2005-06-01 00:00:00