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Multifocal Motor Neuropathy Presenting as Ophthalmoplegia
Muscle & Nerve 20:347-351997., Pringle,C.E.,et al, 1997
See this aricle in Pubmed
Article Abstract
A 45-year-old man developed ophthalmoplegia and subsequently multiple cranial nerve palsies in association with bibrachial paresis. Investigations revealed evidence of conduction block occurring at a very proximal location(i.e.,the spinal roots)and seemingly sparing sensory fibers.Other causes were ruled out and a diagnosis of multifocal motor neuropathy with conduction block(MMN)was suggested.The patient responded to cyclophosphamide.Differentiating features between MMN and chronic inflammatory demyelinating polyradioneuropathy(CIDP)are discussed.This case demonstrated that MMN may rarely present with ophthalmoparesis and also demonstrates that features of MMN and CIDP may overlap.
Related Tags
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abducens nerve paralysis
abducens nerve paralysis,bilateral
conduction block
cranial neuropathy
cranial neuropathy,multiple
diplegia,brachial
facial weakness,bilateral
neck weakness
neuropathy
neuropathy,motor,multifocal
neuropathy,multifocal
ophthalmoplegia
tongue,atrophy
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