Identifier |
wh_ch61_p3545_4 |
Title |
Walsh & Hoyt: Clinical Manifestations |
Creator |
David I. Kaufman, DO |
Affiliation |
Chair, Neurology & Ophthalmology, Michigan State University |
Subject |
Demyelinating Diseases; Axonal Disorders; Chronic Inflammatory Demyelinating Polyneuropathy; Clinical Manifestations |
Description |
CIDP usually begins insidiously and may evolve very slowly. Unlike AIDP, it may take months for it to reach its maximum level of severity. The condition is characterized by symmetric proximal and distal weakness that occurs early in the illness. This progressively worsens over 6 weeks or more and is associated with hyporeflexia or areflexia. The weakness may be mild or severe, but assisted ventilation is rarely required. Most patients also develop sensory disturbances, particularly paresthesias in the toes and the tips of the fingers, although painful paresthesias are uncommon. In some patients, these and other sensory symptoms occur early in the course of the disease. In 10 patients with CIDP in whom there was electrophysiologic evidence of demyelination of both sensory and motor nerve fibers, the majority of clinical symptoms were sensory. Some patients with CIDP develop a postural tremor that is unrelated to weakness or proprioceptive loss and usually occurs late in the course of the disease. |
Date |
2005 |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Relation is Part of |
Walsh and Hoyt's Clinical Neuro-Ophthalmology Walsh and Hoyt's Clinical Neuro-Ophthalmology |
Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh and Hoyt Textbook Selections Collection: https://NOVEL.utah.edu |
Publisher |
Wolters Kluwer Health, Philadelphia |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
Copyright 2005. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6zd1bbb |
Setname |
ehsl_novel_whts |
ID |
186162 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6zd1bbb |