✦ LIBER ✦

Conduction block in vasculitic neuropathy

✍ Scribed by Armin Mohamed; Leo Davies; John David Pollard

Publisher: John Wiley and Sons
Year: 1998
Tongue: English
Weight: 574 KB
Volume: 21
Category: Article
ISSN: 0148-639X
DOI: 10.1002/(sici)1097-4598(199808)21:8<1084::aid-mus17>3.0.co;2-u

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✦ Synopsis

Vasculitis involving peripheral nerves usually presents as an acute asymmetrical axonal neuropathy. We report a 67-year-old man with a symmetrical subacute neuropathy in which nerve conduction studies showed prominent conduction block, a finding indicative of demyelination. Sural nerve biopsy showed a vasculitic neuropathy with invasion of blood vessel walls by inflammatory cells and a mixture of nerve fiber loss and demyelination. The demyelination in this case was presumably a consequence of subinfarctive nerve ischemia.

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