Chronic motor neuropathies:: response to interferon-β1a after failure of conventional therapies

被引:73
作者
Martina, ISJ
van Doorn, PA
Schmitz, PIM
Meulstee, J
van der Meché, FGA
机构
[1] Univ Rotterdam Hosp, Dept Neurol, NL-3015 GD Rotterdam, Netherlands
[2] Univ Rotterdam Hosp, Dr Daniel Den Hoed Canc Ctr, Dept Stat, NL-3015 GD Rotterdam, Netherlands
关键词
chronic motor neuropathy; interferon-beta;
D O I
10.1136/jnnp.66.2.197
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives-The effect of interferon-pla (LNF-beta 1a; Rebif(R)) was studied in patients with chronic motor neuropathies not improving after conventional treatments such as immunoglobulins, steroids, cyclophosphamide or plasma exchange. Methods-A prospective open study was performed with a duration of 6-12 months. Three patients with a multifocal motor neuropathy and one patient with a pure motor form of chronic inflammatory demyelinating polyneuropathy were enrolled. Three patients had anti-GM1 antibodies. Treatment consisted of subcutaneous injections of IBF-beta 1a (6 MIU), three times a week. Primary outcome was assessed at the level of disability using the nine hole peg test, the 10 metres walking test, and the modified Rankin scale. Secondary outcome was measured at the impairment level using a slightly modified MRC sumscore. Results-All patients showed a significant improvement on the modified MRC sumscore. The time required to walk 10 metres and to fulfil the nine hole peg test was also significantly reduced in the first 3 months in most patients. However, the translation of these results to functional improvement on the modified Rankin was only seen in two patients. There were no severe adverse events. Motor conduction blocks were partially restored in one patient on Anti-GM1 antibody titres did not change. Conclusion-These findings indicate that severely affected patients with chronic motor neuropathies not responding to conventional therapies may improve when treated with INF-beta 1a. From this study it is suggested that INF-beta 1a should be administered in patients with chronic motor neuropathies for a period of up to 3 months before deciding to cease treatment. A controlled trial is necessary to confirm these findings.
引用
收藏
页码:197 / 201
页数:5
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