Table 4.
Patient No. | Characteristics | Onset of Neurologic symptoms | Neurologic Signs and Symptoms | CSF analysis | EDX subtype | Treatment | Outcome |
---|---|---|---|---|---|---|---|
1 | 88-year-old woman | two days prior to admission with severe fatigue and low back pain | Paraparesis developed to quadriparesis, absent DTR in lower limbs and decreased DTR in upper limbs | WBC < 10 cell/µl Elevated protein level (88 mg/dl) |
AMSAN | Plasma exchange | Favorable, discharged 15 days followed by the admission |
2 | 47-year-old man | About a week prior to admission, coincide with respiratory symptoms | Dysarthria and decreased DTR in lower limbs followed by quadriparesis | WBC < 10 cell/µl Elevated protein level (154 mg/dl) |
AMSAN | Plasma exchange | Death on the 4th day of admission |
3 | 58-year-old man | 7 days followed by admission | muscle weakness, gait disturbance and areflexia | WBC < 10 cell/µl Elevated protein level (65 mg/dl) |
AMSAN | IVIg & Plasma exchange | Death on the 20th day of admission |
CSF, cerebrospinal fluid; EDX, electrodiagnosis; DTR, deep tendon reflex; RBC, red blood cell; WBC, white blood cell; AMSAN, acute motor-sensory axonal neuropathy; IVIg, intravenous immune globulin.