Abstract
Inflammatory polyneuropathies, caused by direct autoimmune attack on peripheral nerves can be classified as either acute (less than 4 weeks) and chronic (more than 4 weeks) or demyelinating and axonal. The commonest acute variety is demyelinating (AIDP) while the axonal varieties ‘acute motor axonal neuropathy’ (AMAN) or ‘acute motor and sensory axonal neuropathy’ (AMSAN) are responsible only for less than 5%. Acute inflammatory polyneuropathies are usually monophasic illnesses; although inflammatory demyelinating polyneuropathy (AIDP) or Miller-Fisher syndrome can recur. Recurrent AMAN are exceedingly rare. We report a case with two episodes on AMAN with complete resolution, occurring eight years apart.
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