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Wartenberg's migrant sensory neuritis
Author(s) -
Nicolle Michael W.,
Barron Jane R.,
Watson Bradley V.,
Hammond Robert R.,
Miller Thomas A.
Publication year - 2001
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/1097-4598(200103)24:3<438::aid-mus1020>3.0.co;2-y
Subject(s) - neuritis , sensory system , medicine , physical medicine and rehabilitation , neuroscience , psychology , audiology
We describe a patient with the sudden onset of a painful, purely sensory, mononeuritis multiplex. Investigations showed no evidence for any underlying systemic condition. A nerve biopsy showed fascicular wallerian degeneration with perineurial thickening, inflammatory cells, and immunoglobulin G (IgG) deposition. His painful sensory deficits persisted, with no improvement after treatment with prednisone. The clinical characteristics in this case were very similar to those originally described by Wartenberg, and subsequently by other investigators. The investigations in our case strongly suggest that there may be an underlying immune pathogenesis for cases of Wartenberg's migrant sensory neuritis. © 2001 John Wiley & Sons, Inc. Muscle Nerve 24: 438–443, 2001