Gasparotti Roberto, Lucchetta Marta, Cacciavillani Mario, Neri Walter, Guidi Carlo, Cavallaro Tiziana, Ferrari Sergio, Padua Luca, Briani Chiara
Section of Neuroradiology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy,
J Neurol. 2015 Jul;262(7):1714-23. doi: 10.1007/s00415-015-7770-z. Epub 2015 May 10.
Neuroimaging is increasingly used in the study of peripheral nerve diseases, and sometimes may have a pivotal role in the diagnostic process. We report on three patients with atypical chronic inflammatory polyradiculoneuropathy (CIDP) in whom magnetic resonance imaging (MRI) and nerve Ultrasound (US) were crucial for a correct diagnostic work-out. A literature review on MRI and US in acquired demyelinating polyneuropathies is also provided. Awareness of the imaging features of CIDP will assist in confirmation of the diagnosis, institution of the appropriate therapy, and prevention of inadequate or delayed treatment in atypical CIDP.
神经影像学在周围神经疾病研究中的应用日益广泛，有时在诊断过程中可能发挥关键作用。我们报告了3例非典型慢性炎症性多发性神经根神经病（CIDP）患者，其中磁共振成像（MRI）和神经超声（US）对正确的诊断工作至关重要。本文还提供了关于获得性脱髓鞘性多发性神经病的MRI和US的文献综述。了解CIDP的影像学特征将有助于确诊、制定适当的治疗方案以及预防非典型CIDP的治疗不足或延误。
