• Fortschr Neurol Psychiatr · Sep 2018

    Review

    [Immune-mediated / inflammatory and hereditary neuropathies - overview and diagnostic algorithm].

    • Beate Schlotter-Weigel and Jan Senderek.
    • Friedrich-Baur-Institut, Neurologische Klinik und Poliklinik, Klinikum der LMU München.
    • Fortschr Neurol Psychiatr. 2018 Sep 1; 86 (9): 566-574.

    AbstractThis paper is a practical survey of immune-mediated, inflammatory and hereditary neuropathies along with recommendations for diagnostic procedures. The large group of immune-mediated, inflammatory neuropathies includes the Guillain-Barré syndrome and chronic-inflammatory demyelinating polyradiculoneuropathy and their subtypes, vasculitic, paraneoplastic and paraproteinemic neuropathies as well as neuropathies resulting from connective tissue disorders. Besides clinical features such as time-dependent progression and distribution of sensorimotor deficits, characteristic electroneurographic findings and antibody profiles are considered. Recent studies in hereditary neuropathies reveal a prevalence of 10-28 out of 100 000 persons in Europe. Research into the genetic causes has made significant progress in the last 20 years; up to now more than 80 genes mutated in hereditary neuropathies have been identified. Besides classification into axonal, demyelinating or intermediate neuropathies based on electroneurography, distinguishing between sensorimotor, pure motor and (autonomous) sensory neuropathies as well as consideration of particular clinical features and ethnic origin can be helpful in orientating molecular genetic analysis.© Georg Thieme Verlag KG Stuttgart · New York.

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