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. Author manuscript; available in PMC: 2011 Mar 8.
Published in final edited form as: J Mol Neurosci. 2009 Aug 18;40(1-2):143–153. doi: 10.1007/s12031-009-9229-0

Table 1.

Classification of congenital myasthenic syndrome based on the site of the defect

Index cases
Presynaptic (8%)
 ChAT deficiencya 16
 Paucity of synaptic vesicles and reduced quantal release 1
 Congenital Lambert–Eaton-like 2
 Other presynaptic defects 2
Synaptic space (15%)
 EP AChE deficiencya 43
Postsynaptic (78%)
 Primary kinetic defect ± AChR deficiencya 52
 Primary AChR deficiency ± minor kinetic defecta 108
 Rapsyn deficiencya 43
 Dok-7 myastheniaa 25
 Na channel myastheniaa 1
 Plectin deficiencya 2
Total 295

Classification was based on a cohort of CMS patients investigated at the Mayo Clinic between 1988 and 2008. One hundred seventeen patients had intercostal biopsies for in vitro electrophysiology and electron microscopy studies. Others were studied using DNA isolated from blood

a

Gene defect identified