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• W2061392954 startingPage "365" @default.
• W2061392954 abstract "Abstract Objective In polyneuropathy associated with monoclonal IgM gammopathy, nerve conduction studies may show disproportionate distal slowing consistent with segmental demyelination. This was suggested to represent a length‐dependent demyelinating process, starting in distal and proceeding to proximal segments. Because the evidence for this is incomplete, we assessed whether length dependence occurs in IgM neuropathy. Methods In 22 patients with IgM neuropathy, 20 disease controls with chronic inflammatory demyelinating polyneuropathy (CIDP) and 36 normal controls, we investigated motor conduction, sensory conduction, and needle electromyography for nerves with short, intermediate‐length, and long axons as well as conduction in short segments of the ulnar nerve from proximal to distal. To compare variables in nerves of different length, we normalized individual values with respect to the median in normal controls. Results In IgM neuropathy, distal slowing and features of axon loss increased with nerve length, and ulnar nerve conduction became gradually slower from proximal to distal when the elbow segment was excluded. In CIDP, no clear length dependence was found except for distal amplitude. Interpretation The disproportionate distal slowing in IgM neuropathy may be part of a length‐dependent process, assuming that this process is randomly distributed due to a generalized exposure to IgM. Ann Neurol 2006;59:365–371" @default.
• W2061392954 created "2016-06-24" @default.
• W2061392954 creator A5073992655 @default.
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• W2061392954 date "2006-01-25" @default.
• W2061392954 modified "2023-09-27" @default.
• W2061392954 title "Length dependence in polyneuropathy associated with IgM gammopathy" @default.
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• W2061392954 doi "https://doi.org/10.1002/ana.20785" @default.
• W2061392954 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16437567" @default.
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