| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
| Neurology supplements are not peer-reviewed. Information contained in Neurology supplements represent the opinions of the authors and are not endorsed by nor do they reflect the views of the American Academy of Neurology, Editor-in-Chief, or Associate Editors of Neurology. |
From the Peripheral Neuropathy Center, Weill Medical College of Cornell University, New York, NY.
Address correspondence and reprint requests to Dr. Norman Latov, Peripheral Neuropathy Center, Weill Medical College of Cornell University, 635 Madison Avenue, Suite 400, New York, NY 10022.
Chronic inflammatory demyelinating polyneuropathy (CIDP) is an autoimmune disease that targets the myelin sheaths of peripheral nerves. In clinical practice the diagnosis is often difficult to make because of the clinical heterogeneity of the disease, its multifocality and predilection for proximal nerve segments, and the limitations of our electrophysiologic and pathologic techniques. Although there are rather stringent research criteria for selecting patients to clinical trials, there are no generally agreed-on clinical diagnostic criteria for CIDP, and application of the research criteria to routine clinical practice would miss the diagnosis in a majority of patients. Because of this uncertainty, the prevalence of CIDP is greatly underestimated, and patients are often left untreated despite progression of their disease. However, given what is known about the clinical presentation and pathophysiology of CIDP, patients with neuropathy of otherwise unknown etiology are more likely to have CIDP than idiopathic axonal neuropathy, and warrant a trial of therapy if they have nerve conduction velocities below the lower limits of normal, prolongation of F-waves beyond the normal range, or presence of conduction block or temporal dispersion. A favorable response to therapy, consisting of stabilization or improvement of the neuropathy, would confirm the diagnosis.
This article has been cited by other articles:
|
|
 |
|
  A. Ali, G. Char, and B. Hanchard Chronic inflammatory demyelinating polyneuropathy in a patient infected with human T lymphotropic virus type I BMJ Case Reports, August 20, 2009; 2009(aug20_1): bcr0320091680 - bcr0320091680. [Abstract] [Full Text]
|
|
|
|
 |
|
 S Jann, M A Bramerio, D Facchetti, and R Sterzi Intravenous immunoglobulin is effective in patients with diabetes and with chronic inflammatory demyelinating polyneuropathy: long term follow-up J. Neurol. Neurosurg. Psychiatry, January 1, 2009; 80(1): 70 - 73. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 X. J. Caro, E. F. Winter, and A. J. Dumas A subset of fibromyalgia patients have findings suggestive of chronic inflammatory demyelinating polyneuropathy and appear to respond to IVIg Rheumatology, February 1, 2008; 47(2): 208 - 211. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Sorensen, L. Molyneaux, and D. K. Yue The Relationship Among Pain, Sensory Loss, and Small Nerve Fibers in Diabetes Diabetes Care, April 1, 2006; 29(4): 883 - 887. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. A. Irving Contemporary assessment and management of neuropathic pain Neurology, June 28, 2005; 64(12_suppl_3): S21 - S27. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. T. H. Van Asseldonk, L. H. Van den Berg, S. Kalmijn, J. H. J. Wokke, and H. Franssen Criteria for demyelination based on the maximum slowing due to axonal degeneration, determined after warming in water at 37{degrees}C: diagnostic yield in chronic inflammatory demyelinating polyneuropathy Brain, April 1, 2005; 128(4): 880 - 891. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Koller, B. C. Kieseier, S. Jander, and H.-P. Hartung Chronic Inflammatory Demyelinating Polyneuropathy N. Engl. J. Med., March 31, 2005; 352(13): 1343 - 1356. [Full Text] [PDF]
|
|
|
|
 |
|
 K. Scott and M. J. Kothari Evaluating the Patient with Peripheral Nervous System Complaints J Am Osteopath Assoc, February 1, 2005; 105(2): 71 - 83. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Y. On, B. Uludag, E. Taskiran, and C. Ertekin Differential Corticomotor Control of a Muscle Adjacent to a Painful Joint Neurorehabil Neural Repair, September 1, 2004; 18(3): 127 - 133. [Abstract] [PDF]
|
|
|
|
|
|
H. Knecht, M. Baumberger, A. Tobon, and A. Steck Sustained remission of CIDP associated with Evans syndrome Neurology, August 24, 2004; 63(4): 730 - 732. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Walk, L. Y.J. Li, G. J. Parry, and J. W. Day Rapid resolution of quadriplegic CIDP by combined plasmapheresis and IVIg Neurology, January 13, 2004; 62(1): 155 - 156. [Full Text] [PDF]
|
|
|
|
 |
|
 P. Magda, N. Latov, T. H. Brannagan III, L. H. Weimer, R. L. Chin, and H. W. Sander Comparison of Electrodiagnostic Abnormalities and Criteria in a Cohort of Patients With Chronic Inflammatory Demyelinating Polyneuropathy Arch Neurol, December 1, 2003; 60(12): 1755 - 1759. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. J. S. Koo Acute Pain Management Journal of Pharmacy Practice, August 1, 2003; 16(4): 231 - 248. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
