Denys V
Service de Neurologie du Pr C. Pierrot-Deseilligny et Service d'explorations neurophysiologiques, Groupe hospitalier Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
Rev Neurol (Paris). 2007 Sep;163 Spec No 1:3S54-7.
The diagnosis of Chronic idiopathic demyelinating polyneuropathy (CIDP) is based on clinical, biological and electrophysiological data. Besides the easily recognized classic forms, there are many clinical variants, sometimes with paucisymptomatic presentation leading to uncertain diagnosis. Numerous sets of diagnostic criteria have sought to define CIDP, specially electrophysiological criteria. These criteria are more sensible than specific. We report two cases of CIDP. Electrodiagnostic studies did not show evidence of multifocal demyelination. We describe the other examinations available to diagnose CIDP.
慢性特发性脱髓鞘性多发性神经病(CIDP)的诊断基于临床、生物学和电生理数据。除了易于识别的经典形式外,还有许多临床变异型,有时症状较少,导致诊断不确定。众多诊断标准试图定义CIDP,特别是电生理标准。这些标准更具敏感性而非特异性。我们报告两例CIDP病例。电诊断研究未显示多灶性脱髓鞘的证据。我们描述了可用于诊断CIDP的其他检查方法。