A Case of Lewis-Sumner Syndrome Showing Dramatic Improvement after Plasma Exchange
Journal of Korean Medical Science
;
: 1101-1104, 2010.
Article
in English
| WPRIM
| ID: wpr-155850
ABSTRACT
We report a patient with Lewis-Sumner syndrome (LSS) who showed an improvement only with plasma exchange (PE). The patient, 32-yr old man, had progressive multifocal motor-sensory deficits with persistent, multiple conduction blocks and marked slowing of NCVs. Nerve pathology supported a diagnosis of demyelinating neuropathy by revealing marked loss of myelinated fibers with inter- and intrafascicular variation. Although the patient was refractory to treatment with corticosteroid and intravenous immunoglobulin, PE produced a dramatic improvement. Our experience strongly proposes that PE should be tried for refractory LSS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peripheral Nerves
/
Plasma Exchange
/
Syndrome
/
Demyelinating Diseases
/
Treatment Outcome
/
Immunoglobulins, Intravenous
/
Adrenal Cortex Hormones
/
Neural Conduction
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2010
Type:
Article
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