Idiopathic Polyradiculoneuritis

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Idiopathic Polyradiculoneuritis

Immune mediated demyelination often involving roots, directed against unknown epitopes in peripheral myelin.
May be post infection
May get axonal injury if severe
As for distal denervating (although more rapid onset)
May have sensory involvement.
By clinical signs
CSF changes if roots involved
Slower nerve conduction
H reflexes and F-waves may be lost
Very good prognosis
Recovery in 3-6 weeks by remyelination
Immunosuppresive levels of corticosteroids (although may delay remyelination)