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Rehabilitation Practice and Science

Translated Title

髓鞘糖蛋白抗體神經病變：病例報告

Abstract

Polyneuropathy is common in the field of rehabilitation medicine. Its symptoms include sensory impairment in the distal limbs, ataxia, tremor, and pinch weakness. Electrophysiology will show multiple neuropathies with distal involvement first. Sensory nerve impairment usually appears earlier than motor nerve impairment. In severe cases, muscle atrophy can also be seen.Due to the multiple etiologies of polyneuropathy, the treatments vary. We report a rare case of anti-MAG neuropathy. The patient is a 88-year-old retired veteran, who complained of bilateral lower leg weakness and numbness in the distal part of all limbs. He visited the neurology OPD and was diagnosed with anti-MAG neuropathy in 1995. Plasma phoresis replacement and an intravenous injection of immunoglobulin were given but in vain. Recently, he had difficulty in dressing, and an unsteady gait was also noted. Thus, he was admitted on June 23, 2002 for comprehensive rehabilitation. Physical examination revealed muscle power in the upper limbs, as grade 4, bilateral hand grasp as grade 3, lower limbs as grade 4, and atrophy of the intrinsic muscles of both hands. Deep tendon reflex was absent in the bilateral legs. All sensory tests were impaired in the distal parts of the four limbs. The patient underwent balance and ambulation training, and the gait pattern then improved progressively. With support by an upper arm orthosis, hand function improved.

Language

Traditional Chinese

First Page

47

Last Page

53

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