Multifocal Motor Neuropathy With Anti-GM1 Antibody: A Filipino Case Report

Gabriel Alejandro B. Baroque, Mary Lou Anne Y. Cabacang, Alejandro C. Baroque

May 2020 DOI 10.35460/2546-1621.2019-0102     Access   

Abstract

As far as we are aware of, we report the first documented case of a 51-year-old Filipino female with multifocal motor neuropathy who presented with asymmetric weakness, unusually in the lower extremity, and confirmed with anti-GM1 antibody.

The treatment of intravenous immunoglobulin with a total dose of 2 g/kg was initiated and repeated every two months with noticeable improvement based on electromyography and nerve conduction studies.

Apart from the unreported Filipino case of multifocal motor neuropathy substantiated by features in clinical, electrophysiologic, antibody testing and response to immunotherapy, the unique occurrence in a female and involving the lower extremity in this rare disorder deserve this present documentation. Multifocal motor neuropathy is seen more in males with a ratio of 2.7:1. It is described as a pure motor disease without sensory deficits and predominantly affects the upper extremities. The diagnosis for the disorder is supported by determination of ganglioside GM1 antibodies.

Keywords: multifocal motor neuropathy, case report

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