Practical Neurology

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Practical Neurology 2006;6:102-110; doi:10.1136/jnnp.2006.089433
Copyright © 2006 by the BMJ Publishing Group Ltd.

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Chronic inflammatory demyelinating polyradiculoneuropathy: classification and treatment options

James R Overell, Hugh J Willison

Department of Neurology, Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK

Correspondence to:
Correspondence to:
Dr J Overell, Department of Neurology, Institute of Neurological Sciences, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK
j.overell@clinmed.gla.ac.uk

The first 150 words of the full text of this article appear below.

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an uncommon and probably underdiagnosed disorder that often results in appreciable disability. Its importance lies in its generally good response to treatment. Although it is often contextualised by neurologists as "a chronic form of Guillain-Barré syndrome" (GBS), this oversimplifies the relationship between the two disorders: there is more to the distinction than one taking longer than the other to present and develop. Because CIDP is treatable, and because treatment is complex, largely non-evidence based, and potentially toxic, it is an important disorder to understand. The clinical spectrum is broad, but clinical subclassification is worthwhile, because it informs treatment decisions—certain subtypes respond better to certain treatment options, and some subtypes don’t respond well, if at all. We will discuss the clinical presentation and suggest a simple and practical classification system as a step towards rationalising the many different immunomodulatory strategies available.

CLINICAL PRESENTATION

When should the clinician . . . [Full text of this article]







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