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@ARTICLE{Drner:153448,
author = {Dörner, Marc and Schreiber, Frank and Stephanik, Heike and
Tempelmann, Claus and Winter, Natalie and Stahl, Jan-Hendrik
and Wittlinger, Julia and Willikens, Sophia and Kramer,
Magdalena and Heinze, Hans-Jochen and Vielhaber, Stefan and
Schelle, Thomas and Grimm, Alexander and Schreiber,
Stefanie},
title = {{P}eripheral {N}erve {I}maging {A}ids in the {D}iagnosis of
{I}mmune-{M}ediated {N}europathies—{A} {C}ase {S}eries},
journal = {Diagnostics},
volume = {10},
number = {8},
issn = {2075-4418},
address = {Basel},
publisher = {MDPI},
reportid = {DZNE-2020-01445},
pages = {535},
year = {2020},
abstract = {Background: Diagnosis of immune-mediated neuropathies and
their differentiation from amyotrophic lateral sclerosis
(ALS) can be challenging, especially at early disease
stages. Accurate diagnosis is, however, important due to the
different prognosis and available treatment options. We
present one patient with a left-sided dorsal flexor paresis
and initial suspicion of ALS and another with multifocal
sensory deficits. In both, peripheral nerve imaging was the
key for diagnosis. Methods: We performed high-resolution
nerve ultrasound (HRUS) and 7T or 3T magnetic resonance
neurography (MRN). Results: In both patients, HRUS revealed
mild to severe, segmental or inhomogeneous, nerve
enlargement at multiple sites, as well as an area increase
of isolated fascicles. MRN depicted T2 hyperintense nerves
with additional contrast-enhancement. Discussion: Peripheral
nerve imaging was compatible with the respective diagnosis
of an immune-mediated neuropathy, i.e., multifocal motor
neuropathy (MMN) in patient 1 and multifocal acquired
demyelinating sensory and motor neuropathy (MADSAM) in
patient 2. Peripheral nerve imaging, especially HRUS, should
play an important role in the diagnostic work-up for
immune-mediated neuropathies and their differentiation from
ALS.},
cin = {U Clinical Researchers - Magdeburg / AG Düzel},
ddc = {610},
cid = {I:(DE-2719)7000000 / I:(DE-2719)5000006},
pnm = {342 - Disease Mechanisms and Model Systems (POF3-342) / 344
- Clinical and Health Care Research (POF3-344)},
pid = {G:(DE-HGF)POF3-342 / G:(DE-HGF)POF3-344},
typ = {PUB:(DE-HGF)16},
pmc = {pmc:PMC7459443},
pubmed = {pmid:32751486},
doi = {10.3390/diagnostics10080535},
url = {https://pub.dzne.de/record/153448},
}