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Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy

Multifocal enlargements with the alteration of a normal fascicular pattern are considered to be sonographic peripheral nerve features in multifocal acquired demyelinating sensory and motor neuropathy (MADSAM), a subtype of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). We herein p...

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Autores principales: Oka, Yuwa, Tsukita, Kazuto, Tsuzaki, Koji, Takamatsu, Naoko, Hamano, Toshiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8479218/
https://www.ncbi.nlm.nih.gov/pubmed/33746164
http://dx.doi.org/10.2169/internalmedicine.6782-20
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author Oka, Yuwa
Tsukita, Kazuto
Tsuzaki, Koji
Takamatsu, Naoko
Hamano, Toshiaki
author_facet Oka, Yuwa
Tsukita, Kazuto
Tsuzaki, Koji
Takamatsu, Naoko
Hamano, Toshiaki
author_sort Oka, Yuwa
collection PubMed
description Multifocal enlargements with the alteration of a normal fascicular pattern are considered to be sonographic peripheral nerve features in multifocal acquired demyelinating sensory and motor neuropathy (MADSAM), a subtype of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). We herein present the case of an 18-year-old patient with MADSAM in whom intensive sonological assessments revealed multifocal nerve enlargement within clinically affected cranial nerves. Our case demonstrated that, if systematically investigated with ultrasound, morphological changes similar to those in the peripheral nerves may be detected in a large proportion of clinically affected cranial nerves in MADSAM, boosting the future applications of cranial nerve ultrasound in CIDP.
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spelling pubmed-84792182021-10-08 Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy Oka, Yuwa Tsukita, Kazuto Tsuzaki, Koji Takamatsu, Naoko Hamano, Toshiaki Intern Med Case Report Multifocal enlargements with the alteration of a normal fascicular pattern are considered to be sonographic peripheral nerve features in multifocal acquired demyelinating sensory and motor neuropathy (MADSAM), a subtype of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). We herein present the case of an 18-year-old patient with MADSAM in whom intensive sonological assessments revealed multifocal nerve enlargement within clinically affected cranial nerves. Our case demonstrated that, if systematically investigated with ultrasound, morphological changes similar to those in the peripheral nerves may be detected in a large proportion of clinically affected cranial nerves in MADSAM, boosting the future applications of cranial nerve ultrasound in CIDP. The Japanese Society of Internal Medicine 2021-03-22 2021-09-01 /pmc/articles/PMC8479218/ /pubmed/33746164 http://dx.doi.org/10.2169/internalmedicine.6782-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Oka, Yuwa
Tsukita, Kazuto
Tsuzaki, Koji
Takamatsu, Naoko
Hamano, Toshiaki
Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy
title Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy
title_full Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy
title_fullStr Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy
title_full_unstemmed Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy
title_short Sonographic Multifocal Cranial Nerve Enlargement in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy
title_sort sonographic multifocal cranial nerve enlargement in multifocal acquired demyelinating sensory and motor neuropathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8479218/
https://www.ncbi.nlm.nih.gov/pubmed/33746164
http://dx.doi.org/10.2169/internalmedicine.6782-20
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