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Picture 1. Sensory nerve conduction studies in the median N and sural N. Limb temperature was maintained above 32°C during the examination. The results on admission were as folows: median N; SNAP amplitude 10 μV, SCV 56 m/s, sural N; SNAP amplitude 22 μV, SCV 46 m/s (A). While distal SNAP amplitude of sural N was within the normal range, that of median N was beyond the laboratory normal limits (normal > 12μV). Folow-up studies at one (B) and two (C) months later showed recovery and normalization of SNAP amplitude at the median N. median N: median nerve, sural N: sural nerve, SNAP: sensory nerve action potential, SCV: sensory conduction velocity □ PICTURES IN CLINICAL MEDICINE □

Abnormal Median Normal Sural Sensory Response in a Patient with an Oropharyngeal Variant of Guillain-Barre Syndrome