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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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