Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1971 Oct;34(5):607–615. doi: 10.1136/jnnp.34.5.607

Idiopathic polyneuritis: serial studies of nerve and immune functions1

Michael P McQuillen 1
PMCID: PMC493876  PMID: 4330698

Abstract

The clinical features of idiopathic polyneuritis in 22 patients admitted to the University of Kentucky Medical Center between July 1965 and June 1970 are described. Serial studies of peripheral nerve function in 12 patients followed to clinical recovery showed changes in nerve conduction velocity, distal motor latency, and/or muscle action potential amplitude. Six children and one adult, showing a change in all three parameters, exhibited a strong correlation between the degree of slowing and the shortness of their illness. Assessment of immune status, by quantitative measurement of cerebrospinal fluid immunoglobulin G(11 patients) and by the degree of lymphocyte transformation on exposure to specific brain protein and/or a homogenate of sciatic nerve (10 patients), bore no consistent relation to the severity or course of the illness. A double-blind trial of short-term, high dose adrenocorticotrophic hormone has yielded no valid evidence to date for or against the effectiveness of such therapy in this illness.

Full text

PDF
607

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arnason B. G., Winkler G. F., Hadler N. M. Cell-mediated demyelination of peripheral nerve in tissue culture. Lab Invest. 1969 Jul;21(1):1–10. [PubMed] [Google Scholar]
  2. Asbury A. K., Arnason B. G., Adams R. D. The inflammatory lesion in idiopathic polyneuritis. Its role in pathogenesis. Medicine (Baltimore) 1969 May;48(3):173–215. doi: 10.1097/00005792-196905000-00001. [DOI] [PubMed] [Google Scholar]
  3. Behan P. O., Lamarche J. B., Feldman R. G., Sheramata W. A. Lymphocyte transformation in the Guillain-Barré syndrome. Lancet. 1970 Feb 21;1(7643):421–421. doi: 10.1016/s0140-6736(70)91560-6. [DOI] [PubMed] [Google Scholar]
  4. Bergamini L., Gandiglio G., Fra L. Motor and afferent nerve conduction in the Guillain-Barré-Sthrol syndrome: a longitudinal study in five cases with different clinical features. Electromyography. 1966 Aug-Oct;6(3):205–232. [PubMed] [Google Scholar]
  5. CERRA D., JOHNSON E. W. Motor nerve conduction velocity in "idiopathic" polyneuritis. Arch Phys Med Rehabil. 1961 Mar;42:159–163. [PubMed] [Google Scholar]
  6. CHAMBERS R., MACDERMOT V. Polyneuritis as a cause of amyotonia congenita. Lancet. 1957 Feb 23;272(6965):397–401. doi: 10.1016/s0140-6736(57)90462-2. [DOI] [PubMed] [Google Scholar]
  7. Cook S. D., Dowling P. C. Neurologic disorders associated with increased DNA synthesis in peripheral blood. Arch Neurol. 1968 Dec;19(6):583–590. doi: 10.1001/archneur.1968.00480060053007. [DOI] [PubMed] [Google Scholar]
  8. Cook S. D., Dowling P. C., Whitaker J. N. The Guillain-Barré syndrome. Relationship of circulating immunocytes to disease activity. Arch Neurol. 1970 May;22(5):470–474. doi: 10.1001/archneur.1970.00480230088011. [DOI] [PubMed] [Google Scholar]
  9. DENCKER S. J., SWAHN B., URSING B. PROTEIN PATTERN OF CEREBROSPINAL FLUID DURING THE COURSE OF ACUTE POLYRADICULONEUROPATHY. Acta Med Scand. 1964 Apr;175:499–506. doi: 10.1111/j.0954-6820.1964.tb00599.x. [DOI] [PubMed] [Google Scholar]
  10. Drachman D. A., Paterson P. Y., Berlin B. S., Roguska J. Immunosuppression and the Guillain-Barré syndrome. Arch Neurol. 1970 Nov;23(5):385–393. doi: 10.1001/archneur.1970.00480290005001. [DOI] [PubMed] [Google Scholar]
  11. HELLER G. L., DEJONG R. N. Treatment of the Guillian-Barre syndrome. Use of corticotropin and glucocorticoids. Arch Neurol. 1963 Feb;8:179–193. doi: 10.1001/archneur.1963.00460020079006. [DOI] [PubMed] [Google Scholar]
  12. Knowles M., Currie S., Saunders M., Walton J. N., Field E. J. Lymphocyte transformation in the Guillain-Barré syndrome. Lancet. 1969 Nov 29;2(7631):1168–1170. doi: 10.1016/s0140-6736(69)92490-8. [DOI] [PubMed] [Google Scholar]
  13. MELNICK S. C. Thirty-eight cases of the Guillain-Barre syndrome: an immunological study. Br Med J. 1963 Feb 9;1(5327):368–373. doi: 10.1136/bmj.1.5327.368. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Mancini G., Carbonara A. O., Heremans J. F. Immunochemical quantitation of antigens by single radial immunodiffusion. Immunochemistry. 1965 Sep;2(3):235–254. doi: 10.1016/0019-2791(65)90004-2. [DOI] [PubMed] [Google Scholar]
  15. Markland L. D., Riley H. D., Jr The Guillain-Barré syndrome in childhood. A comprehensive review, including observations on 19 additional cases. Clin Pediatr (Phila) 1967 Mar;6(3):162–170. doi: 10.1177/000992286700600314. [DOI] [PubMed] [Google Scholar]
  16. McQuillen M. P., Gorin F. J. Serial ulnar nerve conduction velocity measurements in normal subjects. J Neurol Neurosurg Psychiatry. 1969 Apr;32(2):144–148. doi: 10.1136/jnnp.32.2.144. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Mills J. A. The immunologic significance of antigen induced lymphocyte transformation in vitro. J Immunol. 1966 Aug;97(2):239–247. [PubMed] [Google Scholar]
  18. OSLER L. D., SIDELL A. D. The Guillain-Barre syndrome; the need for exact diagnostic criteria. N Engl J Med. 1960 May 12;262:964–969. doi: 10.1056/NEJM196005122621905. [DOI] [PubMed] [Google Scholar]
  19. Ono T., Terayama H., Takaku F., Nakao K. Inhibitory effects of hydrocortisone upon the phytohemagglutinin-induced RNA-synthesis in human lymphocytes. Biochim Biophys Acta. 1968 Jul 23;161(2):361–367. doi: 10.1016/0005-2787(68)90114-7. [DOI] [PubMed] [Google Scholar]
  20. Osuntokun B. O., Prineas J., Field E. J. Immunological study of chronic polyneuropathies of undetermined cause. J Neurol Neurosurg Psychiatry. 1966 Oct;29(5):456–458. doi: 10.1136/jnnp.29.5.456. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Paulson G. W. The Landry-Guillain-Barré-Strohl syndrome in childhood. Dev Med Child Neurol. 1970 Oct;12(5):604–607. doi: 10.1111/j.1469-8749.1970.tb01969.x. [DOI] [PubMed] [Google Scholar]
  22. Pleasure D. E., Lovelace R. E., Duvoisin R. C. The prognosis of acute polyradiculoneuritis. Neurology. 1968 Dec;18(12):1143–1148. doi: 10.1212/wnl.18.12.1143. [DOI] [PubMed] [Google Scholar]
  23. Posner J. B., Ertel N. H., Kossmann R. J., Scheinberg L. C. Hyponatremia in acute polyneuropathy. Four cases with the syndrome of inappropriate secretion of antidiuretic hormone. Arch Neurol. 1967 Nov;17(5):530–541. doi: 10.1001/archneur.1967.00470290084011. [DOI] [PubMed] [Google Scholar]
  24. Ravn H. The Landry-Guillain-Barré syndrome. A survey and a clinical report of 127 cases. Acta Neurol Scand. 1967;43(Suppl):1–64. [PubMed] [Google Scholar]
  25. WIEDERHOLT W. C., MULDER D. W. CEREBROSPINAL FLUID FINDINGS IN THE LANDRY-GUILLAIN-BARRE-STROHL SYNDROME. Neurology. 1965 Feb;15:184–187. doi: 10.1212/wnl.15.2.184. [DOI] [PubMed] [Google Scholar]
  26. WIEDERHOLT W. C., MULDER D. W., LAMBERT E. H. THE LANDRY-GUILLAIN-BARR'E-STROHL SYNDROME OR POLYRADICULONEUROPATHY: HISTORICAL REVIEW, REPORT ON 97 PATIENTS, AND PRESENT CONCEPTS. Mayo Clin Proc. 1964 Jun;39:427–451. [PubMed] [Google Scholar]
  27. Whitaker J. N., Hirano COOK S. D., Dowling P. C. The ultrastructure of circulating immunocytes in Guillain-Barré syndrome. Neurology. 1970 Aug;20(8):765–770. doi: 10.1212/wnl.20.8.765. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES