Diagnostic challenges in chronic inflammatory demyelinating polyradiculoneuropathy.
CIDP
diagnostic accuracy
diagnostic pitfalls
misdiagnosis
underdiagnosis
Journal
Brain : a journal of neurology
ISSN: 1460-2156
Titre abrégé: Brain
Pays: England
ID NLM: 0372537
Informations de publication
Date de publication:
05 12 2020
05 12 2020
Historique:
received:
08
04
2020
revised:
07
06
2020
accepted:
17
06
2020
pubmed:
7
11
2020
medline:
2
3
2021
entrez:
6
11
2020
Statut:
ppublish
Résumé
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) consists of a spectrum of autoimmune diseases of the peripheral nerves, causing weakness and sensory symptoms. Diagnosis often is challenging, because of the heterogeneous presentation and both mis- and underdiagnosis are common. Nerve conduction study (NCS) abnormalities suggestive of demyelination are mandatory to fulfil the diagnostic criteria. On the one hand, performance and interpretation of NCS can be difficult and none of these demyelinating findings are specific for CIDP. On the other hand, not all patients will be detected despite the relatively high sensitivity of NCS abnormalities. The electrodiagnostic criteria can be supplemented with additional diagnostic tests such as CSF examination, MRI, nerve biopsy, and somatosensory evoked potentials. However, the evidence for each of these additional diagnostic tests is limited. Studies are often small without the use of a clinically relevant control group. None of the findings are specific for CIDP, meaning that the results of the diagnostic tests should be carefully interpreted. In this update we will discuss the pitfalls in diagnosing CIDP and the value of newly introduced diagnostic tests such as nerve ultrasound and testing for autoantibodies, which are not yet part of the guidelines.
Identifiants
pubmed: 33155018
pii: 5957444
doi: 10.1093/brain/awaa265
pmc: PMC7719025
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3214-3224Informations de copyright
© The Author(s) (2020). Published by Oxford University Press on behalf of the Guarantors of Brain.
Références
J Neurol Neurosurg Psychiatry. 1998 Jan;64(1):84-9
pubmed: 9436733
Eur J Neurol. 2012 Apr;19(4):638-42
pubmed: 22136662
Invest Radiol. 2017 Nov;52(11):701-707
pubmed: 28574858
Intern Med. 2008;47(23):2019-24
pubmed: 19043253
Neuroradiology. 2016 Aug;58(8):745-52
pubmed: 27114080
Clin Neurophysiol. 2015 Sep;126(9):1805-10
pubmed: 25591830
Neurology. 2020 Jan 7;94(1):e62-e74
pubmed: 31827006
Arch Neurol. 1991 Feb;48(2):217-20
pubmed: 1847041
Neuromuscul Disord. 2017 Mar;27(3):290-293
pubmed: 27986399
J Neurol Sci. 1983 Oct-Nov;61(3):389-99
pubmed: 6317809
J Neurol Neurosurg Psychiatry. 2009 Dec;80(12):1364-8
pubmed: 19622522
Muscle Nerve. 2018 Apr;57(4):542-549
pubmed: 29053880
Brain. 2005 Apr;128(Pt 4):880-91
pubmed: 15689367
Eur J Neurol. 2017 Oct;24(10):1307-1313
pubmed: 28762574
Neuroradiology. 2011 Dec;53(12):955-60
pubmed: 21318578
Brain. 2001 Dec;124(Pt 12):2427-38
pubmed: 11701597
Neurology. 2004 Nov 9;63(9):1662-9
pubmed: 15534252
Nat Rev Neurol. 2017 Sep;13(9):533-547
pubmed: 28708133
Muscle Nerve. 2004 Apr;29(4):565-74
pubmed: 15052622
Muscle Nerve. 1989 Apr;12(4):257-64
pubmed: 2770778
Ann Neurol. 2013 Mar;73(3):370-80
pubmed: 23280477
Neurology. 1999 Feb;52(3):498-503
pubmed: 10025777
J Neurol Neurosurg Psychiatry. 2018 Jun;89(6):627-635
pubmed: 29248893
Clin Neurophysiol. 2020 Apr;131(4):921-927
pubmed: 32078921
Neurology. 2020 Jul 28;95(4):e427-e433
pubmed: 32102977
Eur J Neurol. 2006 Apr;13(4):326-32
pubmed: 16643309
J Peripher Nerv Syst. 2009 Sep;14(3):151-8
pubmed: 19909478
Arch Neurol. 1989 Aug;46(8):878-84
pubmed: 2757528
Brain Behav. 2018 Oct;8(10):e01115
pubmed: 30240176
Muscle Nerve. 2014 Jul;50(1):40-6
pubmed: 24338746
J Neurol Neurosurg Psychiatry. 2017 Jun;88(6):465-473
pubmed: 28073817
Brain. 2016 Oct;139(Pt 10):2617-2630
pubmed: 27474220
J Peripher Nerv Syst. 2005 Sep;10(3):282-92
pubmed: 16221287
J Neurol Sci. 2019 Feb 15;397:141-145
pubmed: 30623818
J Neurol Sci. 1976 Apr;27(4):427-58
pubmed: 1262904
Muscle Nerve. 2009 Feb;39(2):206-20
pubmed: 19145651
Neurology. 1991 May;41(5):617-8
pubmed: 2027473
J Neurol Sci. 2009 Feb 15;277(1-2):1-8
pubmed: 19091330
Muscle Nerve. 2017 Feb;55(2):171-178
pubmed: 27312883
Clin Neurophysiol. 2007 Sep;118(9):1999-2004
pubmed: 17644033
Front Immunol. 2018 May 14;9:1029
pubmed: 29867996
Neurology. 2014 Mar 11;82(10):879-86
pubmed: 24523485
Muscle Nerve. 2008 Nov;38(5):1447-1454
pubmed: 18932207
Clin Neurophysiol. 2006 Sep;117(9):2079-84
pubmed: 16859987
J Neurol Sci. 1999 Nov 15;170(1):36-44
pubmed: 10540034
J Neurol. 2013 Oct;260(10):2580-7
pubmed: 23821028
Muscle Nerve. 2018 Jan;57(1):E18-E23
pubmed: 28802056
Muscle Nerve. 2011 Sep;44(3):444-7
pubmed: 21996806
Muscle Nerve. 2008 Dec;38(6):1599-603
pubmed: 19016547
Muscle Nerve. 2013 Nov;48(5):727-32
pubmed: 23424105
Eur J Neurol. 2010 Jul;17(7):939-44
pubmed: 20158514
Muscle Nerve. 2009 Dec;40(6):960-6
pubmed: 19697380
Sci Rep. 2017 Oct 31;7(1):14411
pubmed: 29089585
Neurology. 2015 Aug 11;85(6):498-504
pubmed: 26180143
Clin Neurophysiol. 2004 May;115(5):1140-4
pubmed: 15066539
Muscle Nerve. 2014 Dec;50(6):976-83
pubmed: 24634226
Clin Neurophysiol. 2006 Jun;117(6):1260-5
pubmed: 16678483
Clin Neurophysiol. 2013 Jan;124(1):171-5
pubmed: 22748564
Muscle Nerve. 2015 Jun;51(6):932-3
pubmed: 25354388
Neurology. 2020 Apr 7;94(14):e1470-e1479
pubmed: 31959710
Clin Neurol Neurosurg. 2005 Apr;107(3):214-7
pubmed: 15823677
Muscle Nerve. 1988 Apr;11(4):318-23
pubmed: 3398879
J Neurol Sci. 2004 Apr 15;219(1-2):15-21
pubmed: 15050432
J Neurol Sci. 2007 Apr 15;255(1-2):1-6
pubmed: 17306302
J Neurol. 2018 Aug;265(8):1916-1921
pubmed: 29926221
J Neurol Neurosurg Psychiatry. 2000 Oct;69(4):442-6
pubmed: 10990501
Mayo Clin Proc. 1975 Nov;50(11):621-37
pubmed: 1186294
Brain. 1987 Dec;110 ( Pt 6):1617-30
pubmed: 3427403
Sci Rep. 2019 Apr 16;9(1):6155
pubmed: 30992531
J Peripher Nerv Syst. 2018 Mar;23(1):49-54
pubmed: 29341326
J Clin Immunol. 2003 Jul;23(4):259-67
pubmed: 12959218
Neurol Sci. 2017 Dec;38(12):2165-2169
pubmed: 28980134
Eur J Neurol. 2011 Feb;18(2):293-9
pubmed: 20602631
Eur J Neurol. 2009 Nov;16(11):1233-9
pubmed: 19659747
Neurol Neuroimmunol Neuroinflamm. 2019 Aug 16;6(5):
pubmed: 31454780
Neurology. 2016 Mar 1;86(9):800-7
pubmed: 26843559
Cochrane Database Syst Rev. 2013 Dec 30;(12):CD001797
pubmed: 24379104
Cochrane Database Syst Rev. 2017 Nov 29;11:CD002062
pubmed: 29185258
BMC Neurol. 2017 Apr 26;17(1):81
pubmed: 28446142
Lancet Neurol. 2016 Apr;15(4):391-404
pubmed: 26906964
Neurology. 1986 May;36(5):647-52
pubmed: 3703263
J Peripher Nerv Syst. 2019 Jun;24(2):174-179
pubmed: 31090121
Clin Neurophysiol. 2010 Jan;121(1):77-84
pubmed: 19850515
Clin Neurophysiol. 1999 Apr;110(4):705-11
pubmed: 10378742
Neurology. 2017 Jan 10;88(2):143-151
pubmed: 27927940
Clin Neurophysiol. 2005 Oct;116(10):2330-3
pubmed: 16122982
Clin Neurophysiol. 2003 Jun;114(6):1079-90
pubmed: 12804676
Ann Neurol. 2015 Feb;77(2):333-7
pubmed: 25425460
Neuroepidemiology. 2019;52(3-4):161-172
pubmed: 30669140
J Neurol Sci. 2016 Jan 15;360:170-5
pubmed: 26723995
Muscle Nerve. 2019 Aug;60(2):180-183
pubmed: 30989684
Muscle Nerve. 2019 Jan;59(1):55-59
pubmed: 30107038
Blood. 2013 Jan 3;121(1):129-35
pubmed: 23149847
Neuroradiology. 2011 Jan;53(1):3-11
pubmed: 20405114
Neurophysiol Clin. 2004 Apr;34(2):71-9
pubmed: 15130553
Eur J Neurol. 2000 Jan;7(1):63-9
pubmed: 10809916
Cochrane Database Syst Rev. 2015 Aug 25;(8):CD003906
pubmed: 26305459
Muscle Nerve. 2015 Apr;51(4):541-8
pubmed: 25571892
J Clin Neurophysiol. 2014 Jun;31(3):241-5
pubmed: 24887608
Brain Behav. 2017 Apr 04;7(5):e00632
pubmed: 28523213
J Neurol Neurosurg Psychiatry. 2011 Nov;82(11):1283-6
pubmed: 20971754
Lancet Neurol. 2019 Aug;18(8):784-794
pubmed: 31076244
Clin Neurophysiol. 2006 Sep;117(9):2085-92
pubmed: 16876477
Muscle Nerve. 2003 Apr;27(4):478-85
pubmed: 12661050
Eur J Neurol. 2010 Mar;17(3):356-63
pubmed: 20456730
Brain. 2015 Jun;138(Pt 6):1484-91
pubmed: 25808373
Brain. 2017 Jul 1;140(7):1851-1858
pubmed: 28575198
Eur Neurol. 2008;60(3):132-6
pubmed: 18628631