Table 1.
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
Gene defect identified