Chapter 4 68 Table 4.5 Patient characteristics of patients with CIDP who did not fulfil diagnostics criteria on NCS and without ultrasound abnormalities Patient Male/female Clinical presentation NCS 1 Male Symmetrical weakness in proximal and distal arm and leg muscles; loss of vibration, touch and position sense in arms and legs; areflexia CMAP↓ right median, right peroneal and left tibial nerve. ↑DML bilateral median nerves. ↓SNAP bilateral median, ulnar, radial and sural nerves. 2 Male Asymmetrical weakness in proximal and distal right arm muscles and right leg muscles; loss of vibration sense distal from knees; low reflexes in the arms, areflexia in the legs CMAP↓ bilateral median, right ulnar, bilateral peroneal and left tibial nerve. ↑DML bilateral median nerves. Normal SNAP’s. 3 Male Asymmetrical weakness in proximal and distal right arm; tremor; loss of vibration sense in feet; areflexia. CMAP↓right median nerve. ↑DML left median nerve. ↓SNAP bilateral median and sural nerves. 4 Male Symmetrical weakness in proximal and distal leg muscles; fluctuating pain in legs; loss of vibration sense in feet; areflexia CMAP↓ right peroneal and left tibial nerve. ↑DML right median and left ulnar nerve. ↓SNAP bilateral sural nerves. 5 Male Symmetrical weakness in extensor hallucis longus muscle; loss of vibration and touch sense in feet up to the knees; low reflexes in the arms, areflexia in the legs. CMAP↑ left median, bilateral ulnar and peroneal, right tibial nerve. ↑DML right median nerve. ↓SNAP bilateral median, right ulnar, left tibial, bilateral sural.
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