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Abstract #3004

Diffusion tensor imaging of forearm nerves for early diagnosis of multifocal motor neuropathy

Wieke Haakma 1,2 , Bas Jongbloed 3 , Martijn Froeling 1 , Clemens Bos 1 , Stephan H. Goedee 3 , Michael Pedersen 4 , Ludo van der Pol 3 , Alexander Leemans 5 , and Jeroen Hendrikse 1

1 Department of Radiology, University Medical Center Utrecht, Utrecht, Utrecht, Netherlands, 2 Department of Forensic Medicine & Comparative Medicine Lab, Aarhus University, Aarhus, Central Denmark, Denmark, 3 Department of Neurology, University Medical Center Utrecht, Utrecht, Utrecht, Netherlands, 4 Department of Clinical Medicine - Comparative Medicine Lab, Aarhus University, Aarhus, Central Denmark, Denmark, 5 Image Sciences Institute, University Medical Center Utrecht, Utrecht, Utrecht, Netherlands

Multifocal motor neuropathy (MMN) is a rare immune-mediated disorder that affects 1-2 person per 100.000. Due to the progressive pure motor weakness, MMN is often confused with amyotrophic lateral sclerosis (ALS). Diffusion tensor imaging (DTI) can be helpful in evaluating changes of diffusion values, which may aid in this discrimination. We studied DTI of the forearm nerves in patients with MMN, ALS and healthy controls. MMN patients revealed decreased fractional anisotropy and axial diffusivity compared to healthy controls. These preliminary results indicate a potential role of DTI in discriminating between MMN and ALS.

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