ABSTRACT

Over the past few years, intravenous immunoglobulin (IVIG) has become an impor­ tant treatment option for various autoimmunerelated neurological diseases^1-3! Efficacy equalling that of plasmapheresis has been con­ vincingly documented in Guillain-Barre syn­ drome and in chronic inflammatory demyelinating polyneuropathy J3-5! Although myasthenia gravis has been less extensively studied, some have similar views in regard to treating a myasthenic crisis,^ and in multifocal motor neuropathy, the benefits of IVIG (although limited) have to be weighed against quite aggres­ sive therapies such as cyclophosphamide.^ In all these examples, the ease of administration, good tolerability and a reasonable safety profile are factors that are cited in favour of IVIG. These possible advantages over alternative immunomodulating therapies may also be of interest for patients suffering from other neuro­ logical autoimmune disorders such as multiple sclerosis (MS).