Multifocal motor neuropathy
| Multifocal motor neuropathy | |
|---|---|
| Synonyms | MMN |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Muscle weakness, muscle atrophy, cramps, fasciculations |
| Complications | N/A |
| Onset | Typically in adulthood |
| Duration | Chronic |
| Types | N/A |
| Causes | Autoimmune disease |
| Risks | Genetic predisposition, environmental factors |
| Diagnosis | Electromyography, nerve conduction study, anti-GM1 antibody test |
| Differential diagnosis | Amyotrophic lateral sclerosis, chronic inflammatory demyelinating polyneuropathy, multifocal acquired demyelinating sensory and motor neuropathy |
| Prevention | N/A |
| Treatment | Intravenous immunoglobulin, immunosuppressive drugs |
| Medication | N/A |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Multifocal Motor Neuropathy (MMN) is a rare neuromuscular disease characterized by progressive, asymmetric muscle weakness and atrophy. The disease is believed to be caused by autoimmune responses leading to damage of peripheral nerves.
Symptoms
The primary symptoms of MMN are weakness and muscle atrophy, often accompanied by fasciculations and mild sensory changes. The disease typically begins in the hands and gradually progresses to other parts of the body.
Causes
The exact cause of MMN is unknown, but it is believed to be an autoimmune disease. In this case, the body's immune system mistakenly attacks the peripheral nerves, leading to their damage and the subsequent symptoms.
Diagnosis
Diagnosis of MMN is based on clinical symptoms, electromyography (EMG) findings, and the presence of anti-GM1 antibodies in the blood. However, not all patients with MMN have these antibodies, making diagnosis challenging.
Treatment
Treatment for MMN typically involves immunoglobulin therapy, which can help to reduce symptoms and slow the progression of the disease. Other treatments, such as corticosteroids and plasma exchange, may also be used, but their effectiveness is less well established.
Prognosis
The prognosis for individuals with MMN varies. Some people may experience only mild symptoms and have a normal lifespan, while others may experience significant disability. However, MMN does not typically affect life expectancy.
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Contributors: Prab R. Tumpati, MD