Clinical profiles in patients with Bickerstaff's encephalopathy with or without anti-GQ1b IgG antibody
Anti-GQ1b IgG | ||||
---|---|---|---|---|
Positive | Negative | |||
Number of patients | 15 | 10 | ||
Sex (M/F) | 10/5 | 7/3 | ||
Median age (range) | 52 (17–63) | 48 (3–91) | ||
n | % | n | % | |
Antecedent illness: | ||||
Upper respiratory infection | 8 | 53 | 7 | 70 |
Diarrhoea | 2 | 13 | 0 | 0 |
Initial symptoms: | ||||
Diplopia | 8 | 53 | 5 | 50 |
Consciousness disturbance | 4 | 27 | 2 | 20 |
Gait disturbance | 3 | 20 | 4 | 40 |
Blepharoptosis | 2 | 13 | 0 | 0 |
Photophobia | 1 | 7 | 0 | 0 |
Dysesthesia | 0 | 0 | 2 | 20 |
Dysarthria | 0 | 0 | 1 | 10 |
Neurological signs during the course of the illness: | ||||
Consciousness disturbance | ||||
Drowsiness | 4 | 27 | 9 | 90 |
Stupor, semicoma, or coma | 3 | 20 | 1 | 10 |
Blepharoptosis | 4 | 27 | 4 | 40 |
External ophthalmoplegia | 15 | 100 | 10 | 100 |
Internal ophthalmoplegia | 6 | 40 | 1 | 10 |
Nystagmus | 8 | 53 | 3 | 30 |
Facial weakness | 5 | 33 | 2 | 20 |
Bulbar palsy | 2 | 13 | 2 | 20 |
Tendon reflex | ||||
Brisk | 7 | 46 | 3 | 30 |
Normal | 1 | 7 | 3 | 30 |
Decreased | 3 | 20 | 1 | 10 |
Absent | 4 | 27 | 3 | 30 |
Babinski's sign | 4 | 27 | 3 | 30 |
Ataxia | 15 | 100 | 10 | 100 |
Deep sense impairment | 0 | 0 | 1 | 10 |
Superficial sense impairment | 1 | 7 | 2 | 20 |