Neurologist Misdiagnoses Patient and Prescribes Incorrect IV Therapy

ByMichael Morgenstern

Updated on

Neurologist Misdiagnoses Patient and Prescribes Incorrect IV Therapy

Case Overview

This case takes place in Missouri and involves a patient who on presented to a neurologist with complaints of numbness, pins and needles, and burning on the bottom of the feet. The patient was diagnosed with polyneuropathy by the defending physician on that visit. Eight months later, the physician prescribed the patient intravenous immunoglobulin therapy, the indication for which was demyelinating peripheral neuropathy. Over the course of the eight months after the initial visit, the physician’s diagnosis of the plaintiff’s condition reportedly continued to be polyneuropathy, for which he prescribed oral medications as well as IVIg therapy, which the plaintiff continued to undergo on a monthly basis. Up until that point, the patient’s condition had not improved and instead, had gradually worsened so the physician abruptly discontinued IVIg treatment without weaning the patient off it. The patient is now suffering from serious and permanent injuries including numbness and tingling, pain and weakness in both lower extremities, unsteady gait, tremors, fall, fatigue, malaise, and difficulty sleeping. The patient alleges this was caused by the physician failing to diagnose the patient’s condition in addition to properly monitoring and treating the condition.

Questions to the Neurology expert and their responses

Q1

How often do you treat patients with this condition?

I have only treated dozens of patients over the years, not hundreds. It is my opinion that Neurologists who are not at a specialized center and who claim to have used IVIG in hundreds of patients are likely using the drug incorrectly.

Q2

What are the indications for IVIG therapy?

The current indications for IVIG therapy in neurological disease, as put forth by the American Academy of Neurology are: Guillain-Barre Syndrome, Chronic Inflammatory Demyelinating Polyneuropathy, Myasthenia Gravis, Multi-Focal Motor Neuropathy with Conduction Block. I have used IVIG for the treatment of Guillain-Barre syndrome, Chronic Inflammatory Demyelinating Polyneuropathy, Multifocal Motor Neuropathy and Myasthenia Gravis.

About the expert

This expert is board certified in both neurology and clinical neurophysiology, and has been practicing medicine for over 20 years. He is a fellow of the American Academy of Neurology and a member of the American Association of Neuromuscular and Electrodiagnostic Medicine. He is the former Professor and Associate Chairman of Neurology at Wayne State University School of Medicine, and is currently the Director of Electromyography and a Professor of Neurology at a major medical center.

Expert headshot

E-008800

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About the author

Michael Morgenstern

Michael Morgenstern

Michael is Senior Vice President of Marketing at The Expert Institute. Michael oversees every aspect of The Expert Institute’s marketing strategy including SEO, PPC, marketing automation, email marketing, content development, analytics, and branding.

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