The Diagnostic Role of Neuromuscular Ultrasound in Chronic Inflammatory Demyelinating Polyneuropathy
Journal Title: Neuro – Open Journal - Year 2014, Vol 1, Issue 1
Abstract
The immune-neuropathies are a heterogenous group of peripheral nerve disorders. Their diagnostic classification is mainly based on the documentation of the distribution pattern of peripheral nerve impairment and the results of nerve conduction studies. Nerve conduction studies remain nowadays fundamental not only for the diagnosis of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), but also for the followup and measurement of response to immune-treatment. The challenge though of acquiring the best static and dynamic image of the relevant nerve structures, led to the development of high frequency ultrasound technology. Neuromuscular ultrasound has been able to detect thickened or swollen roots, peripheral nerves or plexus, findings that are consistent with ongoing inflammation, especially in cases of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). Similar findings have been described also in other immune-mediated neuropathies such as Guillain–Barré Syndrome (GBS), Multifocal Motor Neuropathy (MMN) and Multifocal Acquired Demyelinating Sensory and Motor Neuropathy (MADSAM). This review provides a timely update on the ultrasound findings of chronic inflammatory demyelinating polyneuropathy.
Authors and Affiliations
Antonios Kerasnoudis
Keywords
Related Articles
- EP ID EP553146
- DOI 10.17140/NOJ-1-101
- Views 103
- Downloads 0
CNS Complication of Group A Streptococcal Meningitis in Children: a Comprehensive Case-Based Literature Review
Group A Streptococcus pyogenes meningitis rarely results in central nervous system complication. Chronic hydrocephalus is a well-known complication of bacterial meningitis. To date, no reports have focused on acute centr...
Audit of a Standard Operating Procedure to Prevent Wrong-Level Lumbar Spinal Surgery with Intra-Operative X-Ray
Introduction: One of the major errors that can be encountered by a spinal surgeon is operating at the wrong level/side. However, wrong-level spinal surgery is considered a ‘never-event’ and is under-reported. Many surgeo...
Radiation Therapy and Nimotuzumab in Children and Adolescents with Brainstem Gliomas: A 5-Year Institutional Experience
Background: Brainstem gliomas (BSG) are Central Nervous System (CNS) tumors with a median survival time of approximately 9 months. Up to now chemotherapy has not shown to improve survival in these patients. The outcome o...
Mobile Stroke Unit (MSU): The Future of Acute Stroke Treatment?
Time is the key factor in brain survivability in acute stroke treatment.1The therapeutic effects of intravenous recombinant tissue Plasminogen Activator (IV rtPA) are highly dependent on time.1-3 Stroke patients presenti...
New Criteria Reduce Inter-Observer Variability in Chronic Cerebrospinal Venous Insufficiency: A Case Control Study
Background: The pathophysiological mechanism defined “chronic cerebrospinal venous insufficiency” (CCSVI) diagnosed using Zamboni criteria has raised a heated debate about possible correlations with several neurological...