Geç tanı alan multifokal motor nöropatili bir olgu
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Date
2015-06-24
Authors
Kotan, Dilcan
Köksal, Semra Alaçam
Gündoğan, Aslı Aksoy
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Multifokal motor nöropati, duyu bozukluğunun eşlik etmediği, motor sinirlerin asimetrik güçsüzlüğü ile karakterize yavaş progresif bir nöropatidir. Bu yazıda, 57 yaşındaki erkek hastada şikayetlerin varlığından onbeş yıl sonra multifokal motor nöropati varlığını ortaya koyduk. Tedavi amacıyla IVIg 0.5 mg/kg/gün başlangıçta 5 gün, sonrasında bir gün süre ile 4 hafta aralıkla uygulandı ve oldukça iyi yanıt gözlendi. Uzun yıllar herediter nöropati düşünülen ve torununda benzer bulgular olan bu olguda elektrofizyolojik bulgular kısmen, serolojik bulgular ise güçlü bir şekilde tanıyı desteklemiş ve tedaviye çok belirgin yanıt ile edinsel nöropatilerin teşhis ve tedavisinin önemine dikkat çekilmiştir.
Multifocal motor neuropathy characterized by the motor nerves asymmetric weakness is slowly progressive neuropathy without sensory disturbances. In this paper, 57-year-old male patient was diagnosed of multifocal motor neuropathy after fifteen years have revealed the symptoms. We started IVIg initially treatment 0.5 mg/kg/day for 5 days and then a day for a period of 4 weeks, and a very good response was observed. This case hereditary neuropathy thought for many years and grandson similar symptoms observed, electrophysiological findings and partially serological findings were strongly support the diagnosis and treatment very good response. We emphasized that acquired neuropathies could be important diagnosed and treated.
Multifocal motor neuropathy characterized by the motor nerves asymmetric weakness is slowly progressive neuropathy without sensory disturbances. In this paper, 57-year-old male patient was diagnosed of multifocal motor neuropathy after fifteen years have revealed the symptoms. We started IVIg initially treatment 0.5 mg/kg/day for 5 days and then a day for a period of 4 weeks, and a very good response was observed. This case hereditary neuropathy thought for many years and grandson similar symptoms observed, electrophysiological findings and partially serological findings were strongly support the diagnosis and treatment very good response. We emphasized that acquired neuropathies could be important diagnosed and treated.
Description
Keywords
Multifokal motor nöropati, IVIg, İleti bloğu, Gangliyozid antikorlar, Ganglioside anticores, Multifocal motor neuropathy, Conduction block
Citation
Kotan, D. vd. (2015). ''Geç tanı alan multifokal motor nöropatili bir olgu''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 41(2), 83-85.