What is the relationship between Lewis-Summer syndrome and Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: April 24, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Lewis Summer Syndrome is a recognized medical condition, also known as the asymmetric variant of chronic inflammatory demyelinating polyneuropathy (CIDP). The term Lewis Summer Syndrome refers to a specific medical condition, which is a variant of CIDP, characterized by asymmetric onset and multifocal demyelinating neuropathy with persistent conduction block 1.

Key Features of Lewis Summer Syndrome

  • Asymmetric onset, often affecting the upper limbs
  • Multifocal demyelinating neuropathy with persistent conduction block
  • Electrophysiologically characterized by the presence of motor conduction blocks in arm nerves
  • Cerebrospinal fluid (CSF) protein levels are raised in about 40% of cases
  • Mildly raised anti-GM1 antibody titers are rare

Treatment of Lewis Summer Syndrome

  • Over 80% of treated patients respond to treatment
  • Intravenous immunoglobulins may be more effective than steroids 1
  • Other treatment options include corticosteroids, plasma exchange, and immunosuppressant agents 2, 3

Prognosis

  • The prognosis is favorable in 40% of patients who eventually stabilize without treatment 1
  • The upper-limb-onset variant is significantly less likely to spread to other limbs and may be less likely to have raised CSF protein levels It is essential to consult with a healthcare professional for an accurate diagnosis and treatment plan, as Lewis Summer Syndrome can be challenging to diagnose and manage 2, 4, 5, 1, 3.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.