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We report two patients with multifocal demyelinating motor neuropathy whose symptoms improved after immunoglobulin infusion.Clinical signs included atrophy of the tongue and limb muscles,closely resumbling that of motor neuron disease.Nerve conduction studies revealed multiple sites of motor conduction block without sensory abnormalities,suggesting selective involvement ofmotor fibers.Careful documentation of conduction block is required to diagnose this entity,which may be treated with immunoglobulin therapy. |
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amyotrophic lateral sclerosis,differential diagnosis amyotrophic lateral sclerosis,misdiagnosis conduction block cranial neuropathy fasciculation gammaglobulin therapy,intravenous motor neuron disease muscle atrophy,progressive nerve conduction studies nerve conduction studies,motor neuropathy neuropathy,motor,multifocal neuropathy,multifocal tongue,atrophy treatment of neurologic disorder
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