A CASE REPORT OF MULTIFOCAL MOTOR NEUROPATHY WITH CONDUCTION BLOCKS (MMNCB) ON LONG TERM IMMUNOTHERAPY (WITH REVIEW OF LITERATURE)
Journal Title: World Journal of Advance Healthcare Research - Year 2018, Vol 2, Issue 2
Abstract
Multifocal motor neuropathy (MMN) with conduction block is an acquired immune-mediated demyelinating neuropathy with slowly progressive weakness, fasciculations, and cramping, without significant sensory involvement. Clinically, it may resemble ALS with predominant lower motor neuron involvement, but muscle atrophy and more rapid progression are lacking. Duration of disease prior to diagnosis ranges from several months to more than 15 years. Unlike ALS, MMN usually responds to treatment with intravenous immunoglobulin (IVIG) or cyclophosphamide, even after many years of duration. The patient discussed here is a 42- year old male who presented to our OPD as a case of slowly progressive weakness which started in his right foot 9 years back that was followed by weakness of his right hand without any sensory involvement. Patient was evaluated thoroughly and the diagnosis of MULTIFOCAL MOTOR NEUROPATHY WITH CONDUCTION BLOCKS (MMNCB) was made. Patient was treated with IVIG and showed dramatic improvement. Patient has been on IVIGs from last 5 years and is doing well.
Authors and Affiliations
Dr. Mahpara
Keywords
Related Articles
- EP ID EP665747
- DOI -
- Views 192
- Downloads 0
ANALYSIS OF FACTORS AFFECTING FAMILY WHO LIVING WITH SEVERE MENTAL DISORDERS BY SELECTION TRADITIONAL TREATMENT
Background: Mental disorder is a syndrome of behavior patterrns or psychological person with clinical judgement, where the clinical symptoms cause distress such as pain, discomfort, discomfort, discomfort and organ dysfu...
PROBLEMATIC OF THE EARLY INTRODUCTION OF FOOD IN INFANTS IN DEVELOPING COUNTRIES: CASE OF A SUB-DISTRICT OF ABIDJAN (IVORY COAST)
The purpose of this work is to determine the influence of the early introduction of food to instead of in infants in Anono a sub-district of Abidjan Cocody. To do so, a cross-sectional and descriptive study was carried o...
INDIRECT FEMALE SEX WORKERS BEHAVIOR TOWARDS VOLUNTARILY COUNSELLING AND TESTING (VCT) IN SLEMAN DISTRICT OF YOGYAKARTA: A PHENOMENOLOGICAL STUDY
Background: HIV/AIDS among sex workers are one of the problems that need world‟s special attention. Indirect female sex workers carry the high risk of being contaminated with HIV/AIDS compare to nonfemale sex workers. Vo...
ANALYSIS OF FACTORS CORRELATING WITH FAMILY FUNCTIONING IN NURSING SCHIZOPHRENIC FAMILY MEMBERS
Schizophrenia is a mental disorder which is indicated by declining communication ability, reality issues, cognitive problems and inability to do daily activities. The major problem that occurs to patients with schizophre...
PROMOTION OF TEACHER-PUPIL INTERACTIONS IN ACCELERATION OF MAKING APPROPRIATE TEENAGE SEXUAL BEHAVIORS AND CHOICES IN KITGUM, UGANDA
Adolescents are characterized by rapid physical, psychological and social changes and yet they lack the skill to cope with the changes that could result into risky adventures hence a burden of disease. The Ugandan govern...