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  • Q&A with Australian Health Practitioners

    What is the cause of Chronic Idiopathic Demyelinating Polyneuropathy (GBS/CIDP)?

    Related Topic
    Sports Injuries & Prevention
    62 year old male in (otherwise) generally good health diagnosed CIDP approximately four months after arthroscopy knee surgery (no other precipitating events). Now IVIg every 4 weeks.
    CIDP symptoms began within days of surgery, in the surgery leg and evolving to both legs. Within one month of surgery, physio is documented as suggesting a neurological problem and referring to GP. Then GP to neurologist and treatment.
    Please comment on possibility that a precipitating cause (surgery) did by unknown pathogenesis more probably than not cause GBS/CIDP or aggravate a previously unsuspected/undetected condition (GBS/CIDP) as follows.

    1. Is it possible that undiagnosed GBS or CIDP prior to surgery may result in rapid pathogenesis to later diagnosis as CIDP, with surgery being the precipitating event?

    OR

    2. In the absence of all other precipitating causes/events, is it more probable than not that surgery was the precipitating event that resulted in CIDP or chronic GBS?
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