Table 3.
Ataxia in the lower or upper limbs at onset or full development | + 3.1 |
Asymmetrical distribution of sensory loss at onset or full development | + 1.7 |
Sensory loss not restricted to the lower limbs as full development | + 2.0 |
At least 1 SAP absent or 3 SAP < 30% of the lower limit of normal in the upper limbs, not explained by entrapment neuropathy | + 2.8 |
Less than two nerves with abnormal motor nerve conduction studies in the lower limbs | + 3.1 |
If > 6.5, a diagnosis of SNN is possible | Total: |
B. A diagnosis of sensory neuronopathy is probable if the patient’s score is > 6.5 and if | |
1. The initial workup does not show biological perturbations or ENMG findings excluding SNN and | |
2. The patient has one of the following disorders: onconeural antibodies or a cancer within 5 years (Graus et al., 2004), cisplatin treatment, Sjögren’s syndrome (Vitali et al., 2002) | |
3. Or MRI shows high signal in the posterior column of the spinal cord |
SNN sensory neuronopathy