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Reviews |
Consultant Neurologist and Honorary Senior Lecturer, Centre for Neuromuscular Disease and Department of Molecular Neurosciences, National Hospital for Neurology and Neurosurgery and Institute of Neurology, Queen Square, London WC1N 3BG, UK; m.reilly@ion.ucl.ac.uk
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The inherited neuropathies are a large heterogeneous group which can be divided into those where the neuropathy is the sole or primary part of the disease, and those where it is part of a more widespread neurological or multisystem disorder (table 1
). Here I will concentrate on the former group, especially Charcot-Marie-Tooth (CMT) disease and related disorders, with a particular emphasis on the diagnostic approach from a practising clinicians perspective.
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Charcot-Marie-Tooth disease is not so much a single disease as a clinically and genetically heterogeneous group of inherited neuropathies, but for simplicity all types of CMT will just be referred to as CMT throughout this review. They are relatively common with an overall prevalence of 1 in 2500.1 CMT is also referred to as hereditary motor and sensory neuropathy (HMSN) but CMT is the preferred term.
CMT is characterised clinically by distal muscle wasting
Related Article
Practical Neurology 2007 7: 69.
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