What is multiple peripheral neuritis?

The incidence of multiple peripheral neuritis is indeed relatively high, so we should pay attention to some of its symptoms. It can cause respiratory muscle paralysis in patients, or be accompanied by non-disturbing sensory disorders and nerve trunk pain and tenderness symptoms.

1. Peripheral nerve type: Mainly damages the spinal nerves, presenting as symmetrical flaccid paralysis of the limbs. In severe cases, there is respiratory muscle paralysis, segmental or peripheral sensory disturbances, nerve root traction pain and nerve trunk tenderness.

2. Cranial nerve type: mainly damages multiple pairs of cranial nerves, among which the bilateral facial nerves, glossopharyngeal nerve, and vagus nerve are most susceptible, followed by the accessory nerve, hypoglossal nerve, and trigeminal nerve, which may be accompanied by mild limb weakness.

3. Mixed type: Multiple pairs of spinal nerves and cranial nerves are damaged, often accompanied by respiratory muscle paralysis.

4. Spinal cord-peripheral nerve type and brainstem peripheral nerve type: In addition to multiple spinal nerve and cranial nerve damage, there are also manifestations of spinal cord and brainstem involvement, such as bladder and rectal dysfunction, positive pathological reflexes, etc.

5. Variant type:

1) Fisher syndrome: characterized by bilateral extraocular muscle palsy; severe symmetrical cerebellar ataxia; loss of tendon reflexes; and cerebrospinal fluid proteinocytosis. The prognosis is good and full recovery is possible.

2) Chronic progressive GBS: This type of disease has a slow onset and gradually worsens, and it may take months or years from onset to the peak of symptoms. Its clinical manifestations and cerebrospinal fluid characteristics are not significantly different from those of GBS.

3) Recurrent GBS: Relapses occur months or years after recovery from an acute attack, and the clinical manifestations are exactly the same as the previous onset. The number of retransmissions is 1 or several times.