Occurrence of nerve entrapment lesion in chronic inflammatory demyelinating polyneuropathy

Clin Neurophysiol. 2004 May;115(5):1140-4. doi: 10.1016/j.clinph.2003.12.007.

Abstract

Objective: To evaluate the occurrence of nerve entrapment syndrome in chronic inflammatory demyelinating polyneuropathy (CIDP).

Methods: We retrospectively evaluated neurophysiologic results of 41 (25 male and 16 female, mean age 49.8, range 11-87) patients with CIDP. We evaluated the frequency of focal neurophysiologic lesion at entrapment site distinguishing two kinds of lesion: (a) true entrapment; and (b) false entrapment on the basis of nerve conduction results.

Results: Occurrence of focal aggression within the entrapment site is similar to that out of the entrapment site in all examined nerves.

Conclusions: The entrapment sites are not an elective zone of focal autoimmune aggression in CIDP. Therefore, in CIDP patients a true entrapment, neurophysiologically demonstrated, could be a concomitant pathology and if a severe and persistent entrapment worsens functional deficit and symptoms, a surgical decompression could be useful.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Carpal Tunnel Syndrome / complications
  • Carpal Tunnel Syndrome / physiopathology
  • Child
  • Female
  • Humans
  • Male
  • Median Nerve / physiopathology
  • Middle Aged
  • Motor Neurons
  • Nerve Compression Syndromes / complications
  • Nerve Compression Syndromes / etiology*
  • Nerve Compression Syndromes / physiopathology
  • Neural Conduction
  • Peripheral Nervous System Diseases / complications
  • Peripheral Nervous System Diseases / physiopathology
  • Peroneal Nerve / physiopathology
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / complications*
  • Retrospective Studies
  • Time Factors
  • Ulnar Nerve / physiopathology
  • Ulnar Nerve Compression Syndromes / complications
  • Ulnar Nerve Compression Syndromes / physiopathology