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What's new in multifocal motor neuropathy in 2007-2008?
J Peripher Nerv Syst. 2008 Dec;13(4):261-3.
Nobile-Orazio E.
Department
of Neurological Sciences, Milan University, 2nd Neurology, IRCCS
Istituto Clinico Humanitas, Rozzano, Milan, Italy.
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Several articles on multifocal motor
neuropathy (MMN) have appeared in 2007 and 2008, broadening the
boundaries of this neuropathy and improving its diagnosis. A number of
retrospective studies confirmed the prolonged efficacy of high-dose
intravenous immunoglobulins (IVIg) in this neuropathy. The efficacy of
other immune therapies was not however, confirmed in other studies in
MMN including a randomized controlled trial on mycophenolate mofetil as
adjunctive therapy to IVIg. These negative results and the lack of new
other studies on the cause of MMN should lead to some reconsideration
on its pathogenesis.
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