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In these patients , the main complaints were sensory they had frequent falls and the EMG/NCV  were normal. However their CSF protein was elevated in the spinal fluid.

This condition has been called CISP. The patients with gait abnormalities were diagnosed as Hysterical and responded to immune treatments. The author describes large fiber involvement.

Large Fiber can be tested by checking Joint position and vibration.

Small Fiber is tested by checking pin prick.

 

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