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    Chronic Inflammatory Demyelinating Polyradiculoneuropathy
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    CASE 1 The patient was a 70-year-old white male in good health until two years before his death when he developed difficulty in walking and bilateral burning and tingling sensations in all four extremities.Examina- tion revealed a broad-based gait and positive Romberg sign.Vibration, touch, and pain sensations were dimin- ished in all extremities.Cerebrospinal fluid contained 200 mg.% protein and no cells.Tests for syphilis in both 69 Protected by copyright.
    Polyradiculoneuropathy
    Etiology
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    The Guillain-Barre syndrome is an acute, paralyzing, often severe and autoimmune polyradiculoneuropathy. There are currently two immunomodulatory therapies that have been shown to accelerate recovery and improve the functional prognosis of patients: intravenous immunoglobulin and plasma exchange therapy. Unlike other diseases autoinmonidad, Guillain-Barre not respond to glucocortcoides......
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    Intravenous Immunoglobulins
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    Multiple mononeuropathy is an unusual form of peripheral neuropathy involving two or more nerve trunks. It is a syndrome with many different causes. We reviewed the clinical, electrophysiological and nerve biopsy findings of 14 patients who suffered from multiple mononeuropathy in our clinic between January 2009 and June 2013. Patients were diagnosed with vasculitic neuropathy(n = 6), perineuritis(n = 2), chronic inflammatory demyelinating polyradiculoneuropathy(n = 2) or Lewis-Sumner syndrome(n = 1) on the basis of clinical features, laboratory data, electrophysiological investigations and nerve biopsies. Two patients who were clinically diagnosed with vasculitic neuropathy and one patient who was clinically diagnosed with chronic inflammatory demyelinating polyradiculoneuropathy were not confirmed by nerve biopsy. Nerve biopsies confirmed clinical diagnosis in 78.6% of the patients(11/14). Nerve biopsy pathological diagnosis is crucial to the etiological diagnosis of multiple mononeuropathy.
    Mononeuropathy
    Nerve biopsy
    Polyradiculoneuropathy
    Etiology
    Citations (0)
    Multiple mononeuropathy is an unusual form of peripheral neuropathy involving two or more nerve trunks. It is a syndrome with many different causes. We reviewed the clinical, electrophysiological and nerve biopsy findings of 14 patients who suffered from multiple mononeuropathy in our clinic between January 2009 and June 2013. Patients were diagnosed with vasculitic neuropathy (n = 6), perineuritis (n = 2), chronic inflammatory demyelinating polyradiculoneuropathy (n = 2) or Lewis-Sumner syndrome (n = 1) on the basis of clinical features, laboratory data, electrophysiological investigations and nerve biopsies. Two patients who were clinically diagnosed with vasculitic neuropathy and one patient who was clinically diagnosed with chronic inflammatory demyelinating polyradiculoneuropathy were not confirmed by nerve biopsy. Nerve biopsies confirmed clinical diagnosis in 78.6% of the patients (11/14). Nerve biopsy pathological diagnosis is crucial to the etiological diagnosis of multiple mononeuropathy.
    Mononeuropathy
    Polyradiculoneuropathy
    Nerve biopsy
    Etiology
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    Guillain-Barre syndrome (GBS) is acute inflammatory demyelinating polyradiculoneuropathy, which is often related to post-infectious etiology. However, GBS has also been reported to be caused by non-infectious factors such as trauma. This report describes a rare case of post-traumatic GBS with dramatic response to immunoglobulin therapy. And here, we also discussed about the importance of differential diagnosis with critical illness polyneuropathy. Keywords: Guillain-Barre syndrome, Craniocerebral trauma, Differential diagnosis, Critical illness, Polyneuropathies
    Polyradiculoneuropathy
    Etiology
    Critical illness polyneuropathy