Grove Neurology
Andrew M. Lerman, MD
Adult Neurology and Neurophysiology located in Coconut Grove, Coral Gables and Miami, FL
Autoimmune diseases in neurology occur when the body’s immune system mistakenly targets components of the nervous system, leading to a wide range of neurological symptoms. Two of the most well-known autoimmune neurologic conditions are Myasthenia Gravis (MG) and Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). These disorders can cause weakness, fatigue, numbness, and functional impairment, but with early recognition and treatment, many patients experience significant improvement. At our practice, we specialize in the diagnosis and management of these complex conditions through a personalized approach that may include immunotherapy, physical rehabilitation, and long-term monitoring.
Autoimmune Neurology
Myasthenia Gravis is a chronic autoimmune condition that disrupts communication between nerves and muscles, leading to muscle weakness—especially in the eyes, face, throat, and limbs. Symptoms often worsen with activity and improve with rest. It is treatable with medications such as acetylcholinesterase inhibitors, corticosteroids, immunosuppressants, and in some cases, surgical removal of the thymus gland.
Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological disorder characterized by progressive weakness and sensory loss in the limbs. It is caused by immune-mediated damage to the myelin sheath surrounding peripheral nerves. CIDP is treatable with immunomodulatory therapies such as corticosteroids, IVIG (intravenous immunoglobulin), or plasma exchange.
Diagnosis involves a detailed clinical exam, blood tests for specific autoantibodies, electrodiagnostic studies (EMG/NCS), and sometimes imaging or lumbar puncture. Early diagnosis is key to preventing long-term damage.
While autoimmune neurological disorders are typically not curable, many are highly manageable with treatment. With the right therapy plan, many patients experience symptom control and improved quality of life.
Depending on the condition and severity, treatments may include medications to suppress or modulate the immune system, physical therapy, IVIG, plasma exchange, or surgical interventions. Our team creates individualized treatment plans to address each patient’s unique needs.
During your first visit, you will undergo a comprehensive neurological evaluation. We will review your medical history, conduct a physical and neurological exam, and discuss next steps—whether that involves lab testing, imaging, or starting a treatment plan tailored to your symptoms and diagnosis.
