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 Nervejournal_title
Muscle & nerveauthors
Bakers JNE,van Eijk RPA,van den Berg LH,Visser-Meily JMA,Beelen Adoi
10.1002/mus.27185subject
Has Abstractpub_date
2021-01-26 00:00:00eissn
0148-639Xissn
1097-4598pub_type
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