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a rare disorder of the peripheral nerve, typically characterised by progressive muscle weakness and spontaneous activity of motor units (fasciculations and myokymia) that usually initially affect the distal upper or sometimes lower extremities. This syndrome was recognised by a group of Swiss neurologists-neurophysiologists who published their observations in 1986 [1]. This paper provided a comprehensive description of the clinical and electrophysiological manifestations of the disorder, including that of the hallmark of the neuropathy – the persistent conduction block of the peripheral motor nerve fibres.

Multifocal motor neuropathy: and then, 20 years later