PMID- 16502421 OWN - NLM STAT- MEDLINE DCOM- 20060908 LR - 20131121 IS - 0148-639X (Print) IS - 0148-639X (Linking) VI - 34 IP - 2 DP - 2006 Aug TI - High-dose cyclophosphamide without stem cell rescue for refractory multifocal motor neuropathy. PG - 246-50 AB - Patients with multifocal motor neuropathy (MMN) respond to intravenous immune globulin (IVIg) and cyclophosphamide, although the benefit is not sustained. High-dose cyclophosphamide can induce a remission in patients with autoimmune diseases, including chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). We describe a patient with refractory MMN who improved with high-dose cyclophosphamide (50 mg/kg for 4 days) without stem cell rescue. Following treatment she discontinued IVIg. At a 6-month examination, her strength had improved and she had regained the ability to write. High-dose cyclophosphamide may be a successful treatment for patients with MMN refractory to other therapies. FAU - Brannagan, Thomas H 3rd AU - Brannagan TH 3rd AD - Weill Medical College of Cornell University, Department of Neurology and Neuroscience, Peripheral Neuropathy Center, 635 Madison Avenue, Suite 400, New York, New York 10022, USA. THB2006@med.cornell.edu FAU - Alaedini, Armin AU - Alaedini A FAU - Gladstone, Douglas E AU - Gladstone DE LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 RN - 0 (Antineoplastic Agents) RN - 8N3DW7272P (Cyclophosphamide) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - Cyclophosphamide/*therapeutic use MH - Drug Resistance MH - Evoked Potentials, Motor/physiology MH - Female MH - Humans MH - Leukocyte Count MH - Middle Aged MH - Motor Neuron Disease/*drug therapy/physiopathology MH - Neural Conduction/physiology MH - Neurologic Examination MH - Neutrophils/physiology MH - Peripheral Nerves/physiopathology EDAT- 2006/02/28 09:00 MHDA- 2006/09/09 09:00 CRDT- 2006/02/28 09:00 PHST- 2006/02/28 09:00 [pubmed] PHST- 2006/09/09 09:00 [medline] PHST- 2006/02/28 09:00 [entrez] AID - 10.1002/mus.20524 [doi] PST - ppublish SO - Muscle Nerve. 2006 Aug;34(2):246-50. doi: 10.1002/mus.20524.