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. 2021 Mar 12;12:643713. doi: 10.3389/fneur.2021.643713

Table 2.

Detailed clinical features of patients at baseline and at 3- and 6-month follow-ups.

Patient Baseline 3-month follow-up 6-month follow-up
Deep tendon reflexes Sensory symptoms and signs MRC scale Upper limbs: R/L MRC scale Lower limbs: R/L Deep tendon reflexes Sensory symptoms and signs MRC scale Upper limbs: R/L MRC scale Lower limbs: R/L Deep tendon reflexes Sensory symptoms and signs MRC scale Upper limbs: R/L MRC scale Lower limbs: R/L
#1 Absent in the lower and upper limbs, normal plantar reflex response bilaterally Severe hypoesthesia in the lower limbs till the superior anterior iliac spine 39/35 19/21 Hyporeflexia only in the lower limbs, normal plantar reflex response bilaterally Moderate hypoesthesia at the lower limbs 24/24 9/9 Areflexia of the Achilles reflexes; DPR normalized in the other districts; normal plantar reflex response bilaterally Mild hypoesthesia in the lower limbs, till the ankle 42/41 18/18
#2 Hyporeflexia in the upper limbs, areflexia in the lower limbs, silent plantar reflex response bilaterally Distal hypoesthesia and paresthesia in the four limbs 21/23 6/8 Hyporeflexia in the upper limbs, areflexia in the lower limbs, silent plantar reflex response bilaterally Slight improvement of the distal hypoesthesia and paresthesia in the four limbs 22/24 6/9 Hyporeflexia in the lower limbs, abnormal plantar reflex response bilaterally Mild distal paraesthesia in the lower limbs 28/29 13/14
#3 Hyporeflexia of the patellar reflexes, areflexia of the Achilles tendon reflexes, silent plantar reflex response bilaterally Distal hypoesthesia in the four limbs more prominent in the right lower limb below the knee; distal apallesthesia in the lower limbs 41/41 12/25 Areflexia of the Achilles reflexes, silent plantar reflex response bilaterally Mild recovery of the hypoesthesia now confined to the right lower limb above the knee and at the left foot; no variation in the distal apallesthesia in the lower limbs 42/38 17/19 NA NA NA NA
#4 Hyporeflexia in the upper limbs, areflexia in the lower limbs, bilateral Babinski sign Severe hypoesthesia and hypopallesthesia in the lower limbs 40/40 9/6 Hyperreflexia in the lower limbs, bilateral Babinski sign Mild hypoesthesia in the lower limbs 40/40 21/20 Mild hyperreflexia at lower limbs, bilateral Babinski sign Normal 40/40 24/24
#5 Hyperreflexia of the patellar and Achilles tendon reflexes, bilateral Babinski sign Severe hypoesthesia and hypopallesthesia in the lower part of the body with upper level at T4-T5 40/40 16/16 Hyperreflexia of the patellar and Achilles reflexes with ankle clonus; bilateral Babinski sign Moderate improvement of the hypoesthesia, upper level at T4-T5 40/40 19/20 Hyperreflexia of the patellar and Achilles reflexes with ankle clonus; bilateral Babinski sign Mild hypoesthesia with upper level T4-T5 40/40 24/24

DPR, Deep Tendon Reflexes; MRC, Medical Research Council Scale for muscle strength assessment. Muscle effort evaluated in the upper limbs (sum score ranging between 0 and 40 for each body side) included: deltoid, biceps brachii, triceps brachii, wrist extension, wrist flexion, finger extension, finger flexion, first dorsal interosseous muscles. Muscle effort evaluated in the lower limbs (sum score ranging between 0 and 25 for each body side) included: iliopsoas, quadriceps femoralis, gastrocnemius, tibialis anterior, extensor hallucis longus mucles.