MADSAM (Lewis Sumner syndrome)

Evidence-based neurology checklist on madsam (lewis sumner syndrome): Demographic features This is probably an asymmetrical variant of CIDP It has a male predominance The mean onset age is 40-50 years Clinical features Differential diagnosis: similarities with MMN Differential diagnosis:…

Demographic features

  • This is probably an asymmetrical variant of CIDP
  • It has a male predominance
  • The mean onset age is 40-50 years

Clinical features

Differential diagnosis: similarities with MMN

Differential diagnosis: differences with MMN

Magnetic resonance imaging (MRI): features

Other investigations

Treatment

Acronym

References

  1. Viala K, Renie L, Maisonobe T, et al. Follow-up study and response to treatment in 23 patients with Lewis-Sumner syndrome. Brain 2004; 127:2010-2017.
  2. Kuwahara M, Numoto I, Kusunoki S. Multifocal nodular hypertrophy of trigeminal nerve in multifocal acquired demyelinating sensory and motor neuropathy. Neurol Neuroimmunol Neuroinflamm 2019; 6:e553. 
  3. Verschueren A, Azulay JP, Attarian S, Boucraut J, Pellissier JF, Pouget J. Lewis-Sumner syndrome and multifocal motor neuropathy. Muscle Nerve 2005; 31:88-94.
  4. Saperstein DS, Amato AA, Wolfe GI, et al. Multifocal acquired demyelinating sensory and motor neuropathy: the Lewis-Sumner syndrome. Muscle Nerve 1999; 22:560-566.
  5. Shimizu F, Oishi M, Sawai S, et al. Increased IP-10 production by blood-nerve barrier in multifocal acquired demyelinating sensory and motor neuropathy and multifocal motor neuropathy. JNNP 2019; 90:444-450.

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