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Mathé J. J. Prick, MD, PhD; Wim I. M. Verhagen, MD, PhD
Department of Neurology Canisius Wilhelmina Ziekenhuis PO Box 9015 6500 GS Nijmegen the Netherlands

Arch Neurol. 1991;48(11):1118-1119.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Chronic inflammatory demyelinating polyneuropathy is a disease of the peripheral neuron with unknown cause. Management of the disorder is still a subject of study. Recently, several studies^1-5 have demonstrated that treatment with high-dose intravenous immunoglobulin has a clear effect on chronic inflammatory demyelinating polyneuropathy. Repeated treatments for a long period are common.⁵ In some cases, it might be better to use plasma exchange.⁶ We present a patient with chronic inflammatory demyelinating polyneuropathy who was treated with high-dose intravenous immunoglobulin several times, resulting in short-term amelioration with rapid new deterioration with an initially unknown cause; plasma exchange caused rapid improvement without new deterioration.

Report of a Case.

—A 66-year-old man was admitted with paresthesia of the lower limbs that had appeared rather suddenly. Later on, progressive weakness of the legs developed, which gradually extended to the arms over a period of several weeks. There were . . . [Full Text PDF of this Article]

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