Pattern of muscle strength improvement after IVIg therapy in Multifocal Motor Neuropathy.

Abstract:

INTRODUCTION:In multifocal motor neuropathy (MMN), knowledge about the pattern of treatment response in a wide spectrum of muscle groups, distal as well as proximal, after intravenous immunoglobulin (IVIg) initiation is lacking. METHODS:Hand-held dynamometry data of 11 upper and lower limb muscles, from 47 patients with MMN was reviewed. Linear mixed models were used to determine the treatment response after IVIg initiation and its relationship with initial muscle weakness. RESULTS:All muscle groups showed a positive treatment response after IVIg initiation. Changes in SD scores ranged from +0.1 to +0.95. A strong association between weakness at baseline and the magnitude of the treatment response was found. DISCUSSION:Improved muscle strength in response to IVIg appears not only in distal, but to a similar degree also in proximal muscle groups in MMN, with the largest response in muscle groups that show the greatest initial weakness.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Bakers JNE,van Eijk RPA,van den Berg LH,Visser-Meily JMA,Beelen A

doi

10.1002/mus.27185

subject

Has Abstract

pub_date

2021-01-26 00:00:00

eissn

0148-639X

issn

1097-4598

pub_type

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