Subacute onset of respiratory difficulties, involuntary jerking and dysphagia after a 5‐ day prodromal urinary tract infection |
Respiratory difficulties required ventilation. Marked ophthalmoplegia and rigidity with stimulus induced myoclonic jerks to noise and touch |
Awake, appropriate behaviour and no cognitive impairment. |
CSF: 11 monocytes, OCB negative, normal glucose protein, virology and cultures negative. |
Intravenous immunoglobulins, then oral steroids. Required oral and intrathecal baclofen |
Benign anogenital papillomatous lesions |
EMG: continuous motor unit activity |
At time of first study [5] he was still ventilator dependent. Improvement continued, he suffered one relapse, but eventually good outcome [30]. |