Disease patterns · Advanced
Acquired demyelinating neuropathies
Acquired demyelinating neuropathies
Use formal criteria to avoid overcalling minor slowing.
01A CIDP framework
- Combine clinical time course, weakness/sensory distribution and multinerve evidence.
- Apply the 2021 EAN/PNS motor and sensory requirements; phenotypes have different criteria.
02Common traps
- Cold, compression sites, very low CMAPs and hereditary neuropathies can confound interpretation.
- One prolonged distal latency or absent F wave does not turn every chronic weakness syndrome into CIDP.
03Consider MMN
- Asymmetric motor-predominant deficits, preserved related sensory responses and non-entrapment block may suggest MMN.
- Clinical integration remains necessary; failure to demonstrate block does not encompass every presentation.
Pause and explain
Explain in your own words: “Use criteria as a complete framework, not a selected numerical item.” Then think of a situation in which it could be misinterpreted.
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This is a learning framework. Use the original guideline and laboratory process for formal classification.
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References and further reading
- EAN/PNS guideline on diagnosis and treatment of CIDP, second revision (2021) ↗EAN / PNS · Clinical guideline · Link accessed 2026-09-08
- Peripheral Polyneuropathy Part 1: Evaluation and Differential Diagnosis ↗AAPM&R KnowledgeNow · Society educational review · Link accessed 2026-09-08
Educational synthesis; independent neuromuscular specialist review is pending. Publication dates and compilation dates are distinct. This is an original teaching synthesis; consult the source for complete methods and criteria.