Volume 22, Issue 10 pp. 1426-1431
Main Article

Clinicopathological study of an autopsy case with sensory-dominant polyradiculoneuropathy with antiganglioside antibodies

Tomokazu Obi MD

Corresponding Author

Tomokazu Obi MD

Department of Neurology, National Shizuoka Hospital, 24-1 Joto-cho, Shizuoka 420-8533, Japan

Department of Neurology, National Shizuoka Hospital, 24-1 Joto-cho, Shizuoka 420-8533, JapanSearch for more papers by this author
Toshikazu Murakami MD

Toshikazu Murakami MD

Department of Pathology, University of Tokyo, Branch Hospital, Tokyo, Japan

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Masami Takatsu MD

Masami Takatsu MD

Department of Neurology, Tokyo Teishin Hospital, Tokyo, Japan

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Susumu Kusunoki MD

Susumu Kusunoki MD

Department of Neurology, Institute for Brain Reserch, Faculty of Medicine, University of Tokyo, Tokyo, Japan

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Masahiro Serizawa MD

Masahiro Serizawa MD

Department of Neurology, National Shizuoka Hospital, 24-1 Joto-cho, Shizuoka 420-8533, Japan

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Kouichi Mizoguchi MD

Kouichi Mizoguchi MD

Department of Neurology, National Shizuoka Hospital, 24-1 Joto-cho, Shizuoka 420-8533, Japan

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Reiko Koike CT

Reiko Koike CT

Department of Pathology, National Shizuoka Hospital, Shizuoka, Japan

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Yoshiro Nishimura MD

Yoshiro Nishimura MD

Department of Neurology, National Shizuoka Hospital, 24-1 Joto-cho, Shizuoka 420-8533, Japan

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Abstract

A previously reported patient presenting sensory-dominant neuropathy with antiganglioside antibodies, bound preferentially to polysi- alogangliosides including GD1b, was autopsied. While axonal degeneration was predominant in the sural nerve, many demyelinated fibers were present in the spinal roots. Dorsal roots had undergone significant damage. These pathological findings were well correlated with the electrophysiological results showing decreased F-wave conduction velocities and conduction blocks in motor nerves and decreased or absent sensory action potentials in sensory nerves, with distribution of GD1b in nerve tissues such as dorsal root ganglia and paranodal myelin in the ventral and dorsal roots. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 1426–1431, 1999

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