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 |