[Electrophysiological manifestations of chronic inflammatory demyelinating polyradiculoneuropathy].
There are four basic electrophysiological parameters of demyelination: reduced motor conduction velocity, prolonged distal motor latency and F waves, and motor conduction blocks. These parameters are combined to determine an electrophysiological set of criteria for chronic inflammatory demyelinating polyneuropathy (CIDP). Whereas their specificity is good, their sensitivity level does not exceed 75 percent. However, these sets of criteria are not commonly used especially in benign forms, at the beginning of the disease, in associated forms or in case of secondary axonal degeneration. We can push the limits using others criteria such as the terminal latency index, sensory criteria, or by the contribution of others electrophysiological procedures such as the radicular stimulation or sensory evoked potentials. Due to the therapeutic implications, any axonal neuropathy without aetiologia, with at least one demyelinating electrophysiological criteria, could be considered as a putative CIDP.
Service ENMG et Pathologies Neuromusculaires, Hôpital Neurologique Pierre Wertheimer, Pôle hospitalier Est-Lyon, Bron. christophe.vial@chu-lyon.fr
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Bouhour
D003943:Diagnostic Techniques, Neurological; D004594:Electrophysiology / Q000379:methods*; D005073:Evoked Potentials, Somatosensory; D006801:Humans; D007075:Immunoglobulin M / Q000276:immunology; D009046:Motor Neurons / Q000502:physiology; D009431:Neural Conduction; D009460:Neurologic Examination; D010265:Paraproteinemias / Q000150:complications / Q000276:immunology; D020277:Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000503:physiopathology*; D011930:Reaction Time; D012678:Sensation Disorders / Q000503:physiopathology
D007075:Immunoglobulin M