Table 1.
Patient number | NEUROPATHY | TUMOR | DRG neurons IgG | DRG neurons IgM | Schwann cells IgG | Schwann cells IgM | Motor neurons IgG | Motor neurons IgM | Clinical features |
---|---|---|---|---|---|---|---|---|---|
3 | Sensory‐motor | OVARIAN | 2 | 1 | 0 | 1 | 0 | 0 | Rapidly progressive (over 1 month), predominantly distal, severe limb weakness plus ataxia. Very severe impairment of arthrokynetic and vibration sensation. Areflexia.EMG: Demyelinating features with severe axonal impairment and acute denervation |
4 | Sensory‐motor | LYMPHOMA | 1 | 2 | 0 | 3a | 0 | 0 | Itch and paresthesia in 3 months. Gait unsteadiness and frequent falls. Mild distal weakness, severe vibration sensation impairment. Sudden progression to severe quadriparesis. Areflexia.EMG: severe sensory‐motor axonal polyneuropathy |
7 | Sensory‐motor | BREAST | 0 | 0 | 0 | 3a | 0 | 0 | One week of weakness and distal paresthesia. Proximal (4/5) and distal (3/5) weakness. Severe vibration and arthrokynetic sensation impairment in all four limbs. Areflexia.EMG: axonal polyneuropathy. Seventeen cells and high protein content in CSF |
33 | Sensory‐motor | COLON | 0 | 0 | 0 | 2 | 0 | 0 | Mild gait impairment 1 year before. Progression in last weeks, with pan‐sensory impairment in four limbs. EMG: sensory‐motor axonal polyneuropathy. Dramatic improvement after tumor removal |
34 | Sensory‐motor | THYMOMA | 3 | 1 | 0 | 2 | 2 | 0 | Gait impairment, distal sensory disturbances, and distal weakness. EMG: demyelinating features, classified as CIDP. Improvement with steroids |
19 | Sensory | NSCLC | 2a | 0 | 1 | 0 | 0 | 0 | Left hand paresthesia. Progression to all limbs, left side of face and trunk. Gait ataxia. Abolition of vibratory sensation in all four limbs. Arthrokinetic sensation impaired in left hand and foot. No weakness. Areflexia. First EMG, normal. Second EMG severe sensory neuronopathy |
21 | Sensory | TONSIL | 0 | 0 | 1 | 2 | 0 | 0 | Ataxia, paresthesia, vibration sensation impairment, and global areflexia. |
30 | Sensory | NSCLC | 2a | 0 | 0 | 0 | 0 | 0 | Distal painful paresthesia in hands and feet. EMG: sensory axonal polyneuropathy |
31 | Sensory | PAROTID GLAND | 0 | 1 | 1 | 0 | 1 | 2 | Radicular pain in legs. Paresthesia in four limbs and trunk. Progression over 3 weeks to inability to walk. Severe impairment of joint position. High protein content in CSF |
NSCLC, non‐small‐cell lung cancer; EMG, electromyography; CSF, cerebrospinal fluid.
Indicate sera used for antigen discovery with immunoprecipitation (IP) studies.