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Nerve Ultrasound Protocol to Detect Dysimmune Neuropathies
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Immune-mediated Neuropathies Our Experience over 3 Years
Sadanandavalli Retnaswami Chandra1, Venkata Raviteja Karru2, M A Mukheem Mudabbir1
1Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Journal of Neurosciences in Rural Practice
|February 20, 2018
Summary
Immune-mediated neuropathies are treatable neurological disorders. Early diagnosis and treatment are crucial for managing these diverse conditions and achieving minimal morbidity.
Area of Science:
- Neurology
- Immunology
Background:
- Immune-mediated neuropathies involve immune system dysregulation affecting peripheral nerves.
- These conditions represent a spectrum of disorders with varying clinical presentations.
- Early diagnosis and treatment are key to managing these treatable conditions.
Purpose of the Study:
- To analyze clinical, laboratory, and outcome parameters in patients with immune-mediated neuropathy.
- To evaluate the spectrum, subtypes, and treatment responses in a cohort of patients.
Main Methods:
- Retrospective analysis of consecutive patients diagnosed with immune-mediated neuropathy.
- Assessment of etiology, pathology, treatment, and patient outcomes.
Main Results:
- Sixty patients were identified: 31 acute and 29 chronic neuropathies.
- Common subtypes included motor dominant, MADSAM, and Miller Fisher.
- Nonsystemic vasculitis was observed in 16 chronic cases; HIV, POEMS, and diabetes mellitus were rare causes.
Conclusions:
- Immune-mediated neuropathies exhibit a wide clinical spectrum and variable treatment responses.
- The study observed nil mortality and minimal morbidity in the analyzed group.
- Prompt diagnosis is essential for favorable outcomes in immune-mediated neuropathies.
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