Nerve enlargement differs among chronic inflammatory demyelinating polyradiculoneuropathy subtypes and multifocal motor neuropathy

Autor: Masaaki Yoshikawa, Kenji Sekiguchi, Hirotomo Suehiro, Shunsuke Watanabe, Yoshikatsu Noda, Hideo Hara, Riki Matsumoto
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Clinical Neurophysiology Practice, Vol 8, Iss , Pp 228-234 (2023)
Druh dokumentu: article
ISSN: 2467-981X
DOI: 10.1016/j.cnp.2023.10.002
Popis: Objective: We aimed to evaluate differences in ultrasonographic nerve enlargement sites among typical chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), distal CIDP, multifocal CIDP and multifocal motor neuropathy (MMN) in a Japanese population. Methods: We retrospectively reviewed medical records and selected 39 patients (14 with typical CIDP, 7 with multifocal CIDP, 4 with distal CIDP, and 14 with MMN) who underwent ultrasonography. Median and ulnar nerve cross-sectional areas (CSAs) were measured at the wrist, forearm, elbow, and upper arm. CSA ratios for each nerve were calculated as: wrist-to-forearm index (WFI) = wrist CSA/forearm CSA; elbow-to-upper arm index (EUI) = elbow CSA/upper arm CSA; and intranerve CSA variability (INCV) = maximal CSA/minimal CSA. Results: Significant differences were observed among typical CIDP, multifocal CIDP, distal CIDP, and MMN in CSA at the forearm and upper arm in the median nerves (p
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