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전도차단을 동반한 다초점운동신경병증 1예

A Case of Multifocal Motor Neuropathy with Conduction Block

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초록

Abstract

Multifocal motor neuropathy with conduction block (MMN) is characterized by a slowly progressive, asymmetrical weakness of the limbs without sensory loss. A differential diagnosis from other motor neuropathies has become increasingly important as MMN has proven to be a treatable disorder. We present a 45-year-old man with longstanding weakness and atrophy of the hand muscles. Electrophysiological studies revealed a typical conduction block in the bilateral median and ulnar nerves. A cycle of intravenous immunoglobulin treatment apparently did not affect the symptoms.

참고문헌 (9)

  1. Taylor BV, "Natural history of 46 patients with multifocal motor neuropathy with conduction block", 23, pp.900~908 (2000)
  2. Van den Berg-Vos RM, "Multifocal motor neuropathy:long-term clinical and electrophysiological assessment of intravenous immunoglobulin maintenance treatment", 125, pp.1875~1886 (2002)
  3. Nobile-Orazio E, "Multifocal motor neuropathy:clinical and immunological features and response to IVIg in relation to the presence and degree of motor conduction block", 72, pp.761~766 (2002)
  4. Olney RK, "American Association of Electrodiagnostic Medicine Consensus criteria for the diagnosis of multifocal motor neuropathy", pp.117~121
  5. Van Asseldonk JT, "Demyelination and axonal loss in multifocal motor neuropathy:distribution and relation to weakness", 126, pp.186~198 (2003)
  6. Nobile-Orazio E, "Treatment of multifocal motor neuropathy", 24 suppl 4, pp.251~255 (2003)
  7. Pestronk A, "A treatable multifocal motor neuropathy with antibodies to GM1 ganglioside", 24, pp.73~78 (1988)
  8. Kaji R, "Pathological findings at the site of conduction block in multifocal motor neuropathy", 33, pp.152~158 (1993)
  9. Taylor BV, "Multifocal motor neuropathy:pathologic alterations at the site of conduction block", 63, pp.129~137 (2004)

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