Ultrasound neuroimaging in chronic inflammatory demyelinating polyneuropathy
- Authors: Vuytsik N.B.1, Suponeva N.A.1, Chechetkin A.O.1, Piradov M.A.1, Suslina Z.A.2
-
Affiliations:
- Research Center of Neurology
- Research Centre of Neurology
- Issue: Vol 8, No 3 (2014)
- Pages: 9-13
- Section: Original articles
- Submitted: 01.02.2017
- Published: 09.02.2017
- URL: https://annaly-nevrologii.com/journal/pathID/article/view/177
- DOI: https://doi.org/10.17816/psaic177
- ID: 177
Cite item
Full Text
Abstract
We present the results of ultrasound study of 21 patients with chronic inflammatory demyelinating polyneuropathy (CIDP). In 100% cases were observed changes of the ultrasound structure of peripheral nerves. The ultrasound abnormalities were most prominent in the peripheral nerves of lower extremities. The changes of both tibial and ulnar nerves morphology seem to be the most valuable for the diagnostics. The cross-sectional area of nerves does not correlate with the duration of disease that hinders the performance of the ultrasound for the purpose of follow-up.
About the authors
N. B. Vuytsik
Research Center of Neurology
Author for correspondence.
Email: vyitsik7@mail.ru
Russian Federation, Moscow
Nataliya A. Suponeva
Research Center of Neurology
Email: vyitsik7@mail.ru
ORCID iD: 0000-0003-3956-6362
D. Sci. (Med.), Corr. Member of the Russian Academy of Sciences, Head, Department of neurorehabilitation and physiotherapy
Russian Federation, MoscowAndrey O. Chechetkin
Research Center of Neurology
Email: vyitsik7@mail.ru
ORCID iD: 0000-0002-8726-8928
D. Sci. (Med.), Head, Ultrasound diagnostic laboratory
Russian Federation, MoscowMikhail A. Piradov
Research Center of Neurology
Email: vyitsik7@mail.ru
ORCID iD: 0000-0002-6338-0392
D. Sci. (Med.), Professor, Full Member of the Russian Academy of Sciences, Director
Russian Federation, MoscowZ. A. Suslina
Research Centre of Neurology
Email: vyitsik7@mail.ru
Russian Federation, Moscow
References
- Ковальчук М.О, Калинкин А.Л. Синдром беспокойных ног: патогенез, диагностика, лечение. Обзор литературы. Нервно-мышечные болезни 2013; 3: 8–19.
- Пирадов М.А., Супонева Н.А., Синдром Гийена-Барре: клиника, диагностика, лечение. МедПРЕСС, 2011; 200.
- Супонева Н.А. Клиническая и диагностическая роль аутоантител к ганглиозидам периферических нервов (обзор литературы и собственные данные). Нервно-мышечные болезни 2013; 1: 26–33.
- Супонева Н.А., Пирадов М.А., Никитин С.С. и др. Патогенетическая и прогностическая роль аутоантител к ганглиозидам периферических нервов при синдроме Гийена-Барре. Анналы клинич. и эксперим. неврологии 2013; 1 (7): 4–11.
- Супонева Н.А., Никитин С.С., Пирадов М.А., Меркулова Д.М. Хроническая воспалительная демиелинизирующая полиневропатия с острым началом и дыхательной недостаточностью. Атмосфера. Нервные болезни 2007; 1: 40–44.
- Duggins A.J., McLeod J.G., Pollard J.D. et al. Spinal root and plexus hypertrophy in chronic inflammatory demyelinating polyneuropathy. Brain 1999; 122: 1383–1390.
- Van den Bergh P.Y., Hadden R.D., Bouche P. et al. EFNS/PNS Guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy: report of a joint task force of the EFNS and the PNS – First revision. Joint task force of the EFNS and the PNS. J Peripher Nerv Syst-2010; 15: 1–9.
- Granata G., Pazzaglia C., Calandro P. et al. Ultrasound visualization of nerve morphological alteration at the site of conduction block. Muscle Nerve 2009; 40: 1068–1070.
- Imamura K., Tajiri Y., Kowa H. et al: Peripheral nerve hypertrophy in chronic inflammatory demyelinating polyradiculoneuropathy detected by ultrasonography. Intern Med 2009; 48: 581–582.
- Matsuda M., Ikeda S., Sakurai S. et al: Hypertrophic neuritis due to chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): a postmortem pathological study. Muscle Nerve 1996; 19: 163–169.
- Matsuoka N., Kohriyama T., Ochi K. et al: Detection of cervical nerve root hypertrophy by ultrasonography in chronic inflammatory demyelinating polyradiculoneuropathy. J Neurol Sci 2004; 219: 15–21.
- Mizuno K., Nagamatsu M., Hattori N. et al. Chronic inflammatory demyelinating polyradiculoneuropathy with diffuse and massive peripheral nerve hypertrophy: distinctive clinical and magnetic resonance imaging features. Muscle Nerve 1998; 805.
- Padua L., Hobson-Webb L.D. Ultrasound as the first choice for peripheral nerve imaging? Neurology. 2013 Apr 30; 80 (18): 1626–1627.
- Smith E.C., Hobson-Webb L.D., Massey E. Nerve ultrasound in motor conduction block: pre- and posttreatment findings. Muscle Nerve 2008; 38: 1369.
- Taniguchi N., Itoh K., Wang Y. et al. Sonographic detection of diffuse peripheral nerve hypertrophy in chronic inflammatory demyelinating polyneuropathy. J Clin Ultrasound 2000; 28: 488–491.
- Zaidman C.M., Al-Lozi M., Pestronk A. Peripheral nerve size in normal and patients with polyneuropathy: an ultrasound study. Muscle Nerve 2009; 40: 960–966.