Treatment with
IV IG (2 g/kg) and high-dose aspirin was started.
However, a lower dose of steroids, up to 20 mg/day, along with
IV Ig or Anti D may help prevent steroid related side effects.
Therapy Outcome 1 -- Complete resolution 2 -- Resolution with residual weakness 3
IV Ig Resolution at HEV clearance 4 IS modification Resolution with residual motor deficit 5 IS cessation, Complete resolution foscavir,
IV Ig 6 IS modification, No improvement
IV Ig 7 Peg-IFN/ribavirin Complete resolution * HEV, hepatitis E virus; -, no specific therapy;
IV Ig, intravenous immunoglobulins; IS, immunosuppressant, Peg-IFN, pegylated interferon.
continue
IV Ig and discharge to ward tomorrow if patient remains stable".
It is recommended that the bone marrow be examined before steroid therapy is given [2,3] A brief course of high-dose prednisone is an inexpensive about more than three times cheaper than IV IG acute ITP (11) but the only drawback is the procedure of bone marrow biopsy for marrow examination which is painful and is more acceptable when performed under general anaesthesia [3] But Geddis AE [9] et al.
ICH which is luckily very rare) but in combination with iv methylprednisolone and or IV IG [2,3].
Periodic treatment with IV Ig increased the strength of her distal lower extremities and improved her gait ataxia.
Alpert's is the first report which highlights the long-term follow-up of a patient with GALOP syndrome, and which demonstrates the role of IV Ig in the management of this relatively unknown syndrome.
In conclusion, a diagnosis of GALOP syndrome should be strongly considered in elderly patients with peripheral neuropathy and otherwise idiopathic gait dysfunction, since it may be treatable with IV Ig.
The patient later experienced two relapses, and she was treated with IV Ig.
1,2) Currently, IV Ig and corticosteroid therapy are considered first-line treatments.
