DOI QR코드

DOI QR Code

A case of acute motor sensory axonal neuropathy presenting reversible conduction block

  • Lee, Dongah (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Hyung Chan (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Kang Min (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Jinse (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Ha, Sam Yeol (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Sung Eun (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Lee, Byung In (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jong Kuk (Department of Neurology, Dong-A University Hospital, Dong-A University College of Medicine) ;
  • Yoon, Byeola (Department of Neurology, Dong-A University Hospital, Dong-A University College of Medicine) ;
  • Shin, Kyong Jin (Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine)
  • Received : 2017.08.22
  • Accepted : 2017.12.28
  • Published : 2018.01.31

Abstract

Reversible conduction block (RCB) was rare in patients with acute motor sensory axonal neuropathy (AMSAN). A-46-year-old man presented with paresthesia, weakness, diplopia, and dysarthria. Nerve conduction study (NCS) exhibited axonal changes with conduction block in motor and sensory nerves. His symptoms were rapidly progressed and recovered. Conduction block was disappeared in the follow-up NCS performed after 2 weeks. The AMSAN case with RCB showed rapid progress and rapid recovery of clinical symptoms as acute motor axonal neuropathy patients with RCB.

Keywords

References

  1. Bae JS, Yuki N, Kuwabara S, Kim JK, Vucic S, Lin CS, et al. Guillain-Barre syndrome in Asia. J Neurol Neurosurg Psychiatry 2014;85:907-913. https://doi.org/10.1136/jnnp-2013-306212
  2. Kuwabara S, Yuki N. Axonal Guillain-Barre syndrome: concepts and controversies. Lancet Neurol 2013;12:1180-1188. https://doi.org/10.1016/S1474-4422(13)70215-1
  3. Islam Z, Jacobs BC, van Belkum A, Mohammad QD, Islam MB, Herbrink P, et al. Axonal variant of Guillain-Barre syndrome associated with Campylobacter infection in Bangladesh. Neurology 2010;74:581-587. https://doi.org/10.1212/WNL.0b013e3181cff735
  4. Kim JK, Bae JS, Kim DS, Kusunoki S, Kim JE, Kim JS, et al. Prevalence of anti-ganglioside antibodies and their clinical correlates with guillain-barre syndrome in Korea: a nationwide multicenter study. J Clin Neurol 2014;10:94-100. https://doi.org/10.3988/jcn.2014.10.2.94
  5. Sekiguchi Y, Uncini A, Yuki N, Misawa S, Notturno F, Nasu S, et al. Antiganglioside antibodies are associated with axonal Guillain-Barre syndrome: a Japanese-Italian collaborative study. J Neurol Neurosurg Psychiatry 2012;83:23-28. https://doi.org/10.1136/jnnp-2011-300309
  6. Chan YC, Punzalan-Sotelo AM, Kannan TA, Shahrizaila N, Umapathi T, Goh EJH, et al. Electrodiagnosis of reversible conduction failure in Guillain-Barre syndrome. Muscle Nerve 2017;56:919-924. https://doi.org/10.1002/mus.25577
  7. Uncini A, Ippoliti L, Shahrizaila N, Sekiguchi Y, Kuwabara S. Optimizing the electrodiagnostic accuracy in Guillain-Barre syndrome subtypes: Criteria sets and sparse linear discriminant analysis. Clin Neurophysiol 2017;128:1176-1183. https://doi.org/10.1016/j.clinph.2017.03.048
  8. Hong YH, Sung JJ, Oh MY, Moon HJ, Park KS, Lee KW. Axonal conduction block at intermediate nerve segments in pure motor Guillain-Barre syndrome. J Peripher Nerv Syst 2011;16:37-46. https://doi.org/10.1111/j.1529-8027.2011.00314.x
  9. Chan YC, Ahmad A, Paliwal P, Yuki N. Non-demyelinating, reversible conduction failure in a case of pharyngeal-cervical-brachial weakness overlapped by Fisher syndrome. J Neurol Sci 2012;321:103-106. https://doi.org/10.1016/j.jns.2012.07.037