Acute Onset Chronic Inflammatory Demyelinating Polyneuropathy: A Case Series Of 4 Patients From Tertiary Care Center
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Date
2019-02
Journal Title
Journal ISSN
Volume Title
Publisher
World Wide Journals
Abstract
Acute onset CIDP(A-CIDP) is an often unrecognized CIDP variant which needs differentiation from Guillain -Barre syndrome(GBS) due to its different prognostic and treatment outcomes. METHODS: We report clinical course and investigations including electrophysiology of 4 patients of A-CIDP and comparison with Electrophysiology of 20 GBS patients. RESULTS: Four patients with initial GBS like clinical presentation were later diagnosed as A-CIDP. Three patients improved with immunotherapy but had exacerbation of weakness more than 8 weeks later while one patient had subacute onset progressive weakness. These patients were further managed with steroids and maintenance immunotherapy. CONCLUSION: GBS is diagnosed on the basis of clinical and electrophysiological criteria and managed with IVIg. Although some clinical features and initial electrorophysiology can suggest the possibility of A- CIDP, the diagnosis is conīrmed on follow up only.
Description
Keywords
A-CIDP,GBS.
Citation
Khandelwal Dinesh, Shukla Archana, Jain RS, Srivastva Trilochan . Comparitive Study To Assess The Effect Of Intravenous Dexmedetomidine On 0.5%Hyperbaric Bupivacaine Spinal Anaesthesia In Lower Limb Surgery.. International Journal of Scientific Research. 2017 Feb; 8(2): 39-41