Patient Age Sex Clinical RNS 20 Hz RNS 50 Hz Anti-GQ1b IgG titer CMAP Imaging Remarks
Group 1
BBE
                 
1 31 M BBE: drowsy, ataxia, bilateral ptosis, weakness & brisk reflexes in upper & lower limbs; power 4/5 in all limbs 1st: +90% (87-93)(1.5)
2nd: +38% (36-40)(1)
1st: +69% (66-71)(1)
2nd: +35% (32-38)(1.5)
2168 11.1 MRI brain: normal NCS normal; F and H responses normal
Had 5 days of immunoglobulin infusion Complete recovery in 3 momonths
2 60 M MFS: Diplopia after URTI, complete ophthalmoplegia ; areflexia of  all limbs 1st: +69% (67-71)(1)
2nd: +26% (24-28)(1)
1st: +72% (70-74)(1)
2nd: +28% (25-31)(1.4)
4855 7.4 MRI brain: normal NCS; absent H reflexes
Complete recovery in 3 months
3 27 M MFS: complete ophthlmoplegia, ataxia, generalized areflexia 1st: +97% (95-99)(1)
2nd: +38%(36-40)(1.1)
1st: +85% (83-87)(1)
2nd: +41%(39-43)(1.1)
12840 9.1 MRI brain: normal NCS: absent H reflexes
Group 2
GBS
                 
4 71 M GBS: generalized areflexia, ataxia, dysmetria 1st: +34%(32-36)(1) 1st: +33%(31-35)(1) 16 6.7 MRI brain: left basal ganglia hyperintensity NCS: abnormal F latencies in 4 limbs (upper > 34 ms; lower > 56 ms); H reflexes absent
Complete recovery in 3 months
5 51 F GBS: bilateral lower VII palsy, generalized areflexia 1st: +29%(26-32)(1.3) 1st: +40%(38-42)(1) 3 6.5 CT brain: normal
MRI brain: normal
NCS: absent H reflexes & prolonged F latencies in 4 limbs (upper > 36 ms; lower > 60 ms))
Clinical deficits resolved in 6 weeks
6 56 F GBS: lower limb weakness,  numbness & generalized areflexia 1st: +9% (8-10)(0.5) 1st: +4% (2-6)(1) 65 8.9 MRI brain: normal
MRI lumbosacral spine: hyperintense conus medullaris
NCS:  absent H reflexes & prolonged lower limb F latencies (all > 36 ms)
Clinical deficits resolved in 2 months
7 57 M GBS: pharyngeal-cervical-brachial variant 1st: + 10% (8-12)(1.1) 1st: +7% (4-10)(1.5) 1 2.7 MRI brain: normal
MRI cervical spine: normal
NCS: prolonged upper limb F latencies ( all > 35 ms)
Clinical deficits resolved in 2 months
8 61 M GBS: bilateral footdrop; lower limb weakness, numbness & generalized areflexia 1st: + 38% (36-40)(1) 1st: +29% (26-32)(1.4) 10 10.8 MRI lumbar spine: mild L3 & L4 spondylosis NCS: prolonged upper & lower limb F latencies (upper > 36 ms; lower > 56 ms) Clinical deficits resolved in 2 months
9 61 F MFS variant: ataxia; bilateral VII palsy, reduced lower limb reflexes 1st: +48%(46-50)(1) 1st: +50%(47-63)(2.3) 115 7.5 MRI brain: old right parietal infarct NCS: absent H reflexes & prolonged F latencies
Clinical deficits resolved in 2 weeks
10 53 F MFS variant: Diplopia; reduced vertical eye movements; absent lower limb reflexes; mild dysmetria 1st: +38% (35-41)(1.5) 1st: +40% (38-42)(1) 7 6.8 MRI brain: hyperintense midbrain signal NCS: normal
Complete recovery in 3 months
M: male; F: female; RNS: repetitive nerve stimulation; URTI: upper respiratory tract infection
1st: initial RNS study; 2nd: repeat RNS study at 6 months; values in brackets indicate range of 5 RNS values (Second bracket denote standard deviation value)
Upper limit of normality: 56% for 20 Hz RNS; 52% for 50 Hz RNS
CMAP: compound muscle action potential amplitude (mV); refers to amplitude at initial study
CMAP & RNS values were measured from the right abductor digiti minimi muscle; abnormal values underlined
Upper limit of normal for anti-GQ1b IgG titer: 534
Table 1: Summary of clinical, electrophysiological and imaging data.