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From the Departments of Child Neurology (I.M., M.B.), Developmental Neurology (R.B.), Clinical Neurophysiology (C.C.), and Biochemistry and Genetics (D.P.), National Neurological Institute "C. Besta," Milano, Italy.
Address correspondence and reprint requests to Dr. I. Moroni, Department of Child Neurology, National Neurological Institute "C. Besta," via Celoria 11, 20133 Milano, Italy; e-mail: imoroni{at}istituto-besta.it
Multifocal motor neuropathy (MMN) is an acquired disorder with onset in adulthood. The authors describe a patient with a slowly progressing distal upper limb motor neuropathy since age 6 years, in whom definite conduction blocks in upper limbs, outside common entrapment sites, and no sensory involvement were consistent with MMN. IV immunoglobulin treatment produced marked muscle strength improvement and conduction block disappearance. MMN diagnosis should also be considered in childhood.
Disclosure: The authors report no conflicts of interest.
Received August 10, 2005. Accepted in final form December 5, 2005.
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