CIDP: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

CIDP: clinical features. Prominent proximal motor weakness, Generalised areflexia, Cranial nerve involvement. Fully referenced neurology checklist.

Typical clinical features

  • Prominent proximal motor weakness
  • Generalised sensory impairment: this is initially in the upper limbs
  • Generalised areflexia
  • Cranial nerve involvement
  • Marked ataxia
  • Motor fatigue
  • Cognitive fatigue
  • Pain: this may be the main presenting feature
  • Tremor

Nerve hypertrophy

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Nerve root hypertrophy

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Pseudotumour (intracranial hypertension) syndrome

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Unusual CIDP presentations

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Acronym

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References

  1. The French CIDP Group, Vallat JM. Recommendations on diagnostic strategies for chronic inflammatory demyelinating polyradiculopathy. Postgrad Med J 2008; 84:378-381.
  2. Gable KL, Attarian H, Allen JA. Fatigue in chronic inflammatory demyelinating polyneuropathy. Muscle Nerve 2020; 62:673-680. 
  3. Steiner OL, Angela C, Geran R, Klostermann F. Motor and cognitive fatigue in chronic inflammatory demyelinating polyneuropathy. Eur J Neurol 2025; 32:e70410.
  4. Boukhris S, Magy L, Khalil M, Sindou P, Vallat JM. Pain as the presenting symptom of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). J Neurol Sci 2007; 254:33-38.
  5. Pallada G, Baars AE, Jacobs BC, et al. Prevalence, clinical characteristics and treatment response of tremor in chronic inflammatory demyelinating polyneuropathy. J Neurol Neurosurg Psychiatry 2026 (Online ahead of print).
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