Nerve Ultrasound, Electrophysiological, and Clinical Changes in Treatment-Naive Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report

被引：1

作者：

Sato, Takeo ^{[1
]}

Terasawa, Yuka ^{[1
]}

Higa, Hitomi ^{[1
]}

Matsuno, Hiromasa ^{[1
]}

Arai, Ayumi ^{[2
]}

Omoto, Shusaku ^{[1
]}

Mitsumura, Hidetaka ^{[1
]}

Toyoda, Chizuko ^{[1
]}

Koike, Haruki ^{[3
]}

Iguchi, Yasuyuki ^{[1
]}

机构：

[1] Jikei Univ, Sch Med, Dept Neurol, Tokyo, Japan

[2] Jikei Univ, Sch Med, Dept Radiol, Tokyo, Japan

[3] Nagoya Univ, Grad Sch Med, Dept Neurol, Showa Ku, Nagoya, Aichi, Japan

来源：

JOURNAL OF CLINICAL NEUROPHYSIOLOGY | 2019年 / 36卷 / 01期

关键词：

Chronic inflammatory demyelinating polyneuropathy; Nerve conduction study; Nerve ultrasound; Cross-sectional area; Intravenous immunoglobulin; NEUROPATHY; CIDP; HYPERTROPHY; NEURITIS; MYELOMA;

D O I：

10.1097/WNP.0000000000000524

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report the case of a 74-year-old woman with treatment-naive chronic inflammatory demyelinating polyneuropathy evaluated by both nerve conduction studies and nerve ultrasound (NUS) before and after initial treatment. Performing both nerve conduction study and NUS before and after initial treatment seems rare for treatment-naive chronic inflammatory demyelinating polyneuropathy. This case yielded two major findings. First, improvement of nerve swelling as evaluated by NUS correlated well with the improvement of neurological symptoms. Second, NUS improvements were seen right after treatment, whereas electrophysiological improvements were not. Nerve ultrasound might thus allow for judgment of curative effects much more immediately and sensitively than nerve conduction study in treatment-naive chronic inflammatory demyelinating polyneuropathy.

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页码：82 / 84

页数：3

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