Mesh : Brachial Plexus / diagnostic imaging Electrophysiological Phenomena Humans Immunoglobulins, Intravenous / therapeutic use Magnetic Resonance Imaging Male Median Nerve / pathology Middle Aged Neurologic Examination Peripheral Nerves / diagnostic imaging Peroneal Nerve / diagnostic imaging Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / diagnostic imaging drug therapy physiopathology Radial Nerve / diagnostic imaging Tibial Nerve / diagnostic imaging Ulnar Nerve / pathology Ultrasonography

来  源:   DOI:10.1002/mus.23624   PDF(Sci-hub)

Abstract:
BACKGROUND: Chronic inflammatory demyelinating polyneuropathy (CIDP) is the most common acquired immune-mediated inflammatory disorder of the peripheral nervous system. The diagnosis is based mainly on the clinical presentation and electrophysiological detection of demyelination.
METHODS: Several MRI studies have demonstrated hypertrophy and abnormal enhancement of spinal nerve roots or brachial plexus in CIDP, but there have been only anecdotal reports of similar sonographic findings.
RESULTS: This article reports the sonographic findings of a CIDP case and includes a review of the literature and previously reported cases.
CONCLUSIONS: This case report highlights the importance of sonography in the localization and recognition of focal nerve enlargements in patients with CIDP. This method could be a helpful tool in the diagnosis of conduction block in CIDP, especially in cases where a nerve segment cannot be explored easily with the inching technique. Systematic data are needed to confirm this observation.
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