Table.
Subject No. | Age at Onset/Death (yr) | Clinical Findings |
Electrophysiology |
|||||
---|---|---|---|---|---|---|---|---|
Mental Status | Cranial Nerves | Respiratory Involvement | Site of Onset | Disease Course | Nerve Conductions (age performed [yr]) | Electromyography | ||
II-2 | 72/79 | Normal | Normal | Yes | Left lower extremity | Progressive, asymmetric lower motor neuron loss in legs before arms, distal before proximal; brisk reflexes; death from respiratory weakness | Normal SNAP amplitudes, normal sensory and motor velocities (72) | Fibs/PSW in legs, thoracic paraspinous muscles; reduced recruitment; occasional large motor units; fasciculations throughout |
II-3 | 64/74 | Normal | Normal | Yes | Left lower extremity | Progressive asymmetric lower motor neuron loss in legs before arms, distal and proximal; brisk reflexes; death from respiratory weakness | Normal SNAP amplitudes, normal sensory and motor velocities (68) | Fibs/PSW in legs and arms; reduced recruitment; occasional large motor units; fasciculations throughout |
II-4 | 83 | Normal | Normal | Yes | Right lower extremity | Progressive asymmetric lower motor neuron loss, distal and proximal, legs before arms; brisk reflexes | Not available | Not available |
III-1 | 48 | Normal | Normal | No | Right upper extremity | Progressive asymmetric lower motor neuron loss, distal before proximal, arms before legs | Normal SNAP amplitudes, normal sensory and motor velocities (49) | Fibs/PSW in arms; fasciculations in arms/legs |
TDP-43 = TAR DNA-binding protein 43; SNAP = sensory nerve action potential; Fibs = fibrillations; PSW = positive sharp waves.