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NEUROLOGY 1994;44:1652
© 1994 American Academy of Neurology

Treatment of stiff-man syndrome with intravenous immunoglobulin

Anthony A. Amato, MD, Edmund W. Cornman, MD and John T. Kissel, MD

Department of Neurology (Drs. Amato and Cornman), Wilford Hall Medical Center, Lackland AFB, TX, and the Department of Neurology (Dr. Kissel), The Ohio State University School of Medicine, Columbus, OH.

Stiff-man syndrome (SMS) is a rare disorder characterized by progressive rigidity, stiffness, and spasms of axial and extremity muscles. The etiology of SMS is unknown, but evidence suggests a possible autoimmune basis. The recent successful use of intravenous immunoglobulin (IVIG) in treating various autoimmune neuromuscular disorders led us to try IVIG in an uncontrolled pilot study on three patients. All three showed subjective and objective improvement.

Address correspondence and reprint requests to Dr. Anthony A. Amato, WHMC/PSMN, 2200 Bergquist Drive, Ste 1, Lackland AFB, TX 78236-5300.

Received November 5, 1993. Accepted in final form March 10, 1994.




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