Table 2.
characteristics | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 |
---|---|---|---|---|---|
Author (yr) | Mak W(2005) | Silverstein MP(2008) | Lau KK(2009) | Tanaka Y(2016) | Our case |
Population | Hong Kong/China | USA | Hong Kong/China | Japan | China |
Gender | M | M | F | F | M |
Age | 40 | 43 | 84 | 69 | 72 |
Preceding factors | + | - | + | - | - |
Clinical characteristics | Limb weakness, areflexia, ptosis, ophthalmoplegia | Ataxia, areflexia, ophthalmoplegia, ptosis | weakness, areflexia, ptosis, ophthalmoplegia, dysphagia, dysarthria, respiratory failure | Acute bilateral ptosis, ophthalmoplegia, ataxic gait, and areflexia | Acute bilateral ptosis, ophthalmoplegia, diplopia |
Albumino-cytologic dissociation | + | - | + | - | + |
Nerve conduction | + | - | + | - | + |
RNS | - | + | + | + | + |
Anti-AChR antibody | + | + | + | + | + |
Anti-GQ1b antibody | + | - | - | + | + |
Edrophonium chloride | |||||
Treatment | plasmapheresis, pyridostigmine | - | Pyridostigmine, IVIG | IVIG, Steroid | pyridostigmine, IVIG |
Thymectomy | - | - | - | - | + |
Prognosis | 1 | 0 | 0 | 1 | 0 |
M- Male, F - Female, MG - Myasthenia gravis, MFS - Miller Fisher Syndrome, IVIG - intravenous immunoglobulin, RNS - repetitive nerve stimulation, Functional outcome was ranked according to the adopted scale by Hughes: 0, healthy; 1, minor symptoms or signs, able to run; 2, able to walk >5 m without assistance, but unable to run; 3, able to walk >5 m with assistance; 4, bed- or chair-bound; 5, requiring assisted ventilation for at least part of the day; and 6, dead. “+” indicates the patient had precipitating factors from infectious disease.”-” indicates the patient did not have precipitating factors from infectious disease. As for the other parameters, “+” indicates positive findings, and “-” indicates negative findings