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 124
- Downloads 0
Vasospasm Monitored by Transcranial Doppler
Vasospasm almost always occurs following rupture of an aneurysm in the Circle of Willis. Spasm is less likely in peripherally located aneurysms, for example those complicating bacterial endocarditis. For a day or two spa...
Neuromodulation and Non-Pharmacological Treatment of Migraine
Migraine is a chronic brain disorder that is believed to be due to dysfunction of the brain and brainstem that result in dysmodulation of sensory processing of the head and vascular tone. The exact pathomechanism of migr...
Carotid Artery Atheromatosis Detected With Doppler Ultrasonography In Patients With Normal Tension Glaucoma
Normal Tension Glaucoma (NTG) is an optic progressive neuropathy with intraocular pressures <21 mmHg. It is a disease with multifactorial proposed pathogenetic mechanisms, one of them being intracranial or systemic vascu...
Current Utilization of Mast Cell Stabilizers for Preemptive Treatment of NF1 Neurofibromas
The morbidity and mortality of Neurofibromatosis type I (NF1) are both largely related to the person’s neurofibroma burden. That burden can presently be minimized by mast cell stabilizers, with ketotifen as the one most...
Emerging Role of the Cerebrospinal Fluid – Neuronal Interface in Neuropathology
The choroid plexus and cerebrospinal fluid have recently begun to emerge as essential regulators of neural function. Factors produced by the choroid plexus are released into the ventricular environment and thus provide a...