Electrophysiological and radiological evidence for the multifocal nature of a case of multifocal acquired demyelinating sensory and motor neuropathy
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Multifocal acquired demyelinating sensory and motor (MADSAM) neuropathy is a variant of chronic acquired demyelinating polyneuropathy. A 65-year-old women presented with upper arm weakness. A nerve conduction study showed conduction blocks over intermediate segments with sparing of distal compound action potentials. Magnetic resonance imaging revealed asymmetric hypertrophy of the brachial plexus on the affected side. These findings represent important electrophysiological and radiological evidence of MADSAM neuropathy. The condition of the patient began to improve after starting intravenous immunoglobulin administration.
Abstract
Multifocal acquired demyelinating sensory and motor (MADSAM) neuropathy is a variant of chronic acquired demyelinating polyneuropathy. A 65-year-old women presented with upper arm weakness. A nerve conduction study showed conduction blocks over intermediate segments with sparing of distal compound action potentials. Magnetic resonance imaging revealed asymmetric hypertrophy of the brachial plexus on the affected side. These findings represent important electrophysiological and radiological evidence of MADSAM neuropathy. The condition of the patient began to improve after starting intravenous immunoglobulin administration.
참고문헌 (6)
- Kuwabara S, "Chronic inflammatory demyelinating polyneuropathy: clinical subtypes and their correlation with electrophysiology", Clin Exp Neuroimmunol, 2, pp.41~48 (2011)[DOI]
- Shibuya K, "Reconstruction magnetic resonance neurography in chronic inflammatory demyelinating polyneuropathy", Ann Neurol, 77, pp.333~337 (2015)[DOI]
- Ad Hoc Subcommittee of the American Academy of Neurology AIDS Task Force, "Research criteria for the diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP)", Neurology, 41, pp.617~618 (1991)[DOI]
- Van den Bergh PY, "European Federation of Neurological Societies", Peripheral Nerve Society guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy: report of a joint task force of the European Federation of Neurological Societies and the Peripheral Nerve Society - first revision, 2010, pp.17, 356~363
- Viala K, "Follow-up study and response to treatment in 23 patients with Lewis-Sumner syndrome", Brain, 127, pp.2010~2017 (2004)[DOI]
- 박영은, "A Case of Lewis-Sumner Syndrome Showing Dramatic Improvement after Plasma Exchange", Journal of Korean Medical Science, 25(7), pp.1101~1104 (2010), 대한의학회