Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: Can a person have CIPD with OK reflexes?

Forum: Neurology Forum
Topic: Myelin


I have been told that I match strick CIPD criteria, except that reflexes are Ok (all 2+)

NCS said to show "classic" criteria including bilateral partial conduction block in legs, etc;
clinical course: bilateral footdrop, burnin parestesia pretty much head to toe; weakness & paresthesia progressing for 4 months
I lose balance when standing with feet together & eyes closed; but "pass" the joint movement "proprioceptive" tests

Extensive tests(MRI, cest films, blood wrok, etc) rule out other stuff.

Any Ideas?

Many thanks

Dear Barbara,

According to diagnostic criteria the reflexes should be absent or reduced. Your reflexes are currently 2+ (normal), however, they may be reduced from what they were prior ro your illness. Despite this it would still be unusual to see preserved reflexes throughout in CIDP. A few additional test that you did not mention but may be helpful to confirm or exclude the diagnosis of CIDP include a lumbar puncture and nerve biopsy. Discuss these options with your doctor. If you are interested in getting an evaluation by a neuromuscular specialist at CCF call 1-800-CCF-CARE. Good Luck.

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