Late motor involvement in cases presenting as "chronic sensory demyelinating polyneuropathy".

Abstract:

:Chronic inflammatory demyelinating polyneuropathy (CIDP) is usually characterized by prominent motor deficits. A pure sensory presentation, labeled chronic sensory demyelinating neuropathy (CSDN), has been reported, but it is unclear if this neuropathy is a distinct clinical and immunologic entity or merely the sensory presentation of the more usual sensorimotor CIDP. We describe 5 patients with what initially appeared to be CSDN; 3 subsequently developed substantial weakness coincident with the electrophysiologic appearance of multifocal motor conduction block. These cases indicate that, in some cases, CSDN may be a transitional clinical stage of CIDP in which the more usual sensorimotor deficits develop later. Immune-based therapy, including intravenous immunoglobulin, was found to be effective in both the pure sensory and sensorimotor types.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Berger AR,Herskovitz S,Kaplan J

doi

10.1002/mus.880180411

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

440-4

issue

4

eissn

0148-639X

issn

1097-4598

journal_volume

18

pub_type

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