Evidence map›Paper›PMID 40984777›Full record

ArticleEuropean journal of neurology2025

Nerve Conduction Abnormalities Beyond Conduction Block in Multifocal Motor Neuropathy. Impact on Diagnostic Criteria Accuracy.

Pietro Emiliano Doneddu, Chiara Gallo, Yuri Falzone, Sabrina Matà, Giuseppe Cosentino, Vincenzo Di Stefano, Massimiliano Filosto, Luca Leonardi, Dario Ricciardi, Anna Mazzeo and 25 more

Abstract read
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors.

Pietro Emiliano DonedduNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milano, Italy.
Chiara GalloNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milano, Italy.
Yuri FalzoneDivision of Neuroscience, Department of Neurology, Institute of Experimental Neurology (INSPE), San Raffaele Scientific Institute, Milano, Italy.
Sabrina MatàDepartment of Neurological and Psychiatric Sciences, Azienda Ospedaliero-Universitaria di Careggi, Florence, Italy.
Giuseppe CosentinoDepartment of Brain and Behavioral Sciences, University of Pavia, IRCCS Mondino Foundation, Pavia, Italy.
Vincenzo Di StefanoDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D.), University of Palermo, Palermo, Italy.ORCID 0000-0001-9805-1655
Massimiliano FilostoDepartment of Clinical and Experimental Sciences, University of Brescia; NeMO-Brescia Clinical Center for Neuromuscular Diseases, Brescia, Italy.ORCID 0000-0002-2852-7512
Luca LeonardiUnit of Neurophysiopathology, Department of Neurology Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, 'Sapienza' University of Rome, Sant'Andrea Hospital, Roma, Italy.
Dario RicciardiDivision of Neurology and Neurophysiopathology, Department of Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0003-4862-4165
Anna MazzeoDepartment of Clinical and Experimental Medicine, Unit of Neurology, University of Messina, Messina, Italy.
Luana BenedettiNeurology Clinic, IRCCS Ospedale Policlinico San Martino Genova, Genoa, Italy.ORCID 0000-0002-9540-9727
Marco LuigettiFondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC Neurologia, Roma, Italy.ORCID 0000-0001-7539-505X
Paolo SollaDepartment of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
Maurizio InghilleriDepartment of Human Neurosciences, Rare Neuromuscular Diseases Centre, Sapienza University of Rome, Rome, Italy.
Dario CocitoDipartimento Scienze Cliniche e Biologiche, Università di Torino, Turin, Italy.ORCID 0000-0002-6964-618X
Francesco HabetswallnerClinical Neurophysiology Unit, Cardarelli Hospital, Naples, Italy.
Alberto De LorenzoNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milano, Italy.
Benedetta SorrentiDivision of Neuroscience, Department of Neurology, Institute of Experimental Neurology (INSPE), San Raffaele Scientific Institute, Milano, Italy.
Maddalena SpallettiSODc Neurophysiopathology, Department Neuromuscolo-Scheletrico e Degli Organi di Senso, Azienda Ospedaliero-Universitaria di Careggi, Florence, Italy.ORCID 0000-0002-6526-0722
Elisa VegezziIRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0001-8776-6831
Christian MessinaDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D.), University of Palermo, Palermo, Italy.
Barbara RisiDepartment of Clinical and Experimental Sciences, University of Brescia; NeMO-Brescia Clinical Center for Neuromuscular Diseases, Brescia, Italy.ORCID 0009-0008-2303-1180
Francesca ForcinaUnit of Neurophysiopathology, Department of Neurology Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, 'Sapienza' University of Rome, Sant'Andrea Hospital, Roma, Italy.
Alessandra FasolinoClinical Neurophysiology Unit, Cardarelli Hospital, Naples, Italy.
Luca GentileDepartment of Clinical and Experimental Medicine, Unit of Neurology, University of Messina, Messina, Italy.
Alessandro BeronioU.O Neurologia, Ospedale Sant'Andrea, La Spezia, Italy.
Francesca VitaliUniversità Cattolica del Sacro Cuore, Sede di Roma, Roma, Italy.ORCID 0000-0002-3177-1575
Federica MoretDepartment of Human Neurosciences, Rare Neuromuscular Diseases Centre, Sapienza University of Rome, Rome, Italy.
Giacomo IabichellaDepartment of Clinical and Experimental Medicine, Unit of Neurology, University of Messina, Messina, Italy.
Stefano GazzinaUnit of Neurophysiology, ASST Spedali Civili, Brescia, Italy.
Corrado CabonaNeurology Clinic, IRCCS Ospedale Policlinico San Martino Genova, Genoa, Italy.
Claudia CutellèNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milano, Italy.
Elisa BianchiLaboratorio di Malattie Neurologiche, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID 0000-0002-0279-0128
Eduardo Nobile-OrazioNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Milano, Italy.ORCID 0000-0003-2624-8138
Italian MMN Database Study Group

Funding

Donation from the family of Maria SmaldoneIRCCS, Humanitas Research HospitalTakeda Pharmaceutical Company IIR-ITA-BXLT-001955/IISR-2017-104226
6 · The paper itself

Abstract

backgroundMultifocal motor neuropathy (MMN) is a rare motor neuropathy diagnosed by identifying motor conduction block (CB), which may be absent or transient. This study aimed to evaluate nerve conduction abnormalities beyond CB and their diagnostic value.

methodsA retrospective analysis included patients fulfilling the 2010 EFNS/PNS clinical criteria for MMN and controls with axonal polyneuropathy, lower motor neuron disease, or chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Electrophysiological studies evaluated motor distal latency prolongation, reduced motor conduction velocity, prolonged F-wave latency, absence of F-waves, abnormal temporal dispersion, and distal CMAP duration prolongation. The 2010 EFNS/PNS criteria for MMN were compared to an 'extended' set incorporating additional electrophysiological parameters.

resultsA total of 70 MMN patients and 359 controls were included. At least one nerve conduction abnormality, excluding motor CB, was detected in one or more nerve segments unaffected by CB in 71% of MMN patients, significantly more frequently than in axonal polyneuropathy or lower motor neuron disease patients. These parameters included abnormal temporal dispersion (47%), distal CMAP duration prolongation (31%), reduced motor conduction velocity (26%), absence of F-waves (9%), prolonged F-wave latency (6%), and motor distal latency prolongation (3%). Incorporating these parameters increased sensitivity for diagnosing probable/definite MMN by 26% (p < 0.001; compared to EFNS/PNS criteria), with minimal impact on specificity, even when compared to CIDP patients.

conclusionIncluding additional electrophysiological parameters into the diagnostic criteria for MMN may enhance diagnostic sensitivity while maintaining comparable specificity. The observation of nerve conduction abnormalities beyond CB indicates a broader electrophysiological profile for MMN.

Indexed as

Motor Neuron DiseaseNeural ConductionPolyneuropathiesAdultAgedElectrodiagnosisFemaleHumansMaleMiddle AgedPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingRetrospective Studiesconduction blockdiagnosisdiagnostic criteriaMMNmultifocal motor neuropathy

Identifiers

PMID40984777
PMCPMC12454919

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.