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Multifocal motor sensory demyelinating neuropathy: Inflammatory demyelinating polyradiculoneuropathy

From the Departments of Neurology (Drs. Oh and LaGanke) and Pathology (Drs. Powers and Oh), University of Alabama at Birmingham; and Departments of Neurology (Dr. Wolfe) and Pathology (Drs. Quinton and Burns), University of Texas Southwestern Medical Center, Dallas.

Address correspondence and reprint requests to Dr. Shin J. Oh, Department of Neurology, University of Alabama at Birmingham, UAB Station, Birmingham, AL 35294; e-mail: shinjoh{at}uab.edu

The authors present two cases that provide the first autopsy findings in multifocal acquired demyelinating sensory and motor neuropathy (MADSAMN). Both cases documented multifocal but asymmetric demyelinating neuropathy with rare axonal degeneration. One case clearly documented an inflammatory polyradiculoplexoneuropathy, confirming the inflammatory nature of this neuropathy. This study showed that MADSAMN is an inflammatory demyelinating polyradiculoneuropathy that shares histologic features observed in chronic inflammatory demyelinating polyradiculoneuropathy and multifocal motor neuropathy (MMN), suggesting a similar immunopathogenesis for these entities.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the November 22 issue to find the title link for this article.

Disclosure: The authors report no conflicts of interest.

Received March 15, 2005. Accepted in final form August 4, 2005.

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