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Randomized Controlled Trial of Intravenous Immunoglobulin Versus Oral Prednisolone in Chronic Inflammatory Demyelinating Polyradiculoneuropathy
Ann Neurol 50:195-201, Hughes,R.,et al, 2001
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Article Abstract
Both treatments produced significant improvements in the primary outcome measure, change in an 11-point disability scale two weeks after randomization. There was slightly, but not significantly, more improvement after IVIg than with prednis olone, the mean difference between the groups in change in disability grade being 0.16 (95% CI = -0.35 go 0.66). There were also slightly, but not significantly, greater improvements favoring IVIg in the secondary outcome measures: time to walk 10 meters after two weeks and improvement in disability grade after six weeks. Results may have been biased against IVIg by the eight patients who did not complete the second arm of the trial. A serious adverse event (psychosis) attributable to treatment occurre d in one patient while on prednisolone and in none with IVIg.
 
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gammaglobulin therapy,intravenous
polyneuropathy,chronic inflammatory demyelinating
steroid
steroid therapy,CNS treatment and complications with
treatment of neurologic disorder

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