KMID : 0359720180360030210
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Journal of the Korean Neurological Association 2018 Volume.36 No. 3 p.210 ~ p.214
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Unilateral Hypoglossal Neuropathy in Multifocal Acquired Demyelinating Sensory and Motor Neuropathy: Differential Diagnosis of Motor Neuron Disease
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Yoo Sang-Kyeong
Kim Min-Ok Kim Chang-Hun Kim Young-Soo Kim Soo-Kyoung Kang Hee-Young Choi Nack-Cheon Kwon Oh-Young Lim Byeong-Hoon Park Kee-Hong
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Abstract
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Multifocal acquired demyelinating sensory and motor neuropathy (MADSAM) is a peripheral neuropathy characterized by multifocal weakness and associated sensory impairment. MADSAM is associated with multifocal persistent conduction block and other signs of demyelination. The incidence of cranial nerve involvement in MADSAM was recently reported to be approximately 15%. However, reports of hypoglossal neuropathy occurring in MADSAM are rare. Unilateral hypoglossal neuropathy in MADSAM is usually misdiagnosed as motor neuron disease. We report a patient with MADSAM presenting with tongue hemiatrophy.
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KEYWORD
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Peripheral demyelinating neuropathy, Motor neuron disease, Hypoglossal nerve diseases
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