MULTIFOCAL SENSORY DEMYELINATING NEUROPATHY: REPORT OF A CASE

作者：Oh Shin J^*

来源：Muscle & Nerve, 2017, 56(4): 825-828.

DOI：10.1002/mus.25523

• chronic inflammatory demyelinating polyneuropathy
• chronic sensory demyelinating neuropathy
• multifocal sensory demyelinating neuropathy
• sensory CIDP

Introduction: Multifocal sensory demyelinating neuropathy has not been adequately reported in the literature. Methods: A 42-year-old man with numbness of the left hand for 3 years and of the right hand for 6 months had a pure multifocal sensory neuropathy involving both hands, most prominently affecting 2-point discrimination, number writing, and object recognition of the left hand. Near-nerve needle sensory and mixed nerve conduction studies were performed on the left ulnar nerve. Results: Studies of the left ulnar nerve documented a demyelinating neuropathy characterized by temporal dispersion and marked decrease in the amplitudes of the sensory and mixed compound nerve potentials in the above-elbow-axilla segment. With intravenous immunoglobulin treatment, there was improvement in his neuropathic condition. Conclusion: In this study I describe a case of multifocal sensory demyelinating neuropathy as a counterpart of multifocal motor neuropathy.

• 出版日期2017-10