Lambert-Eaton myasthenic syndrome with ophthalmoparesis and pseudoblepharospasm.

Abstract:

:We report a patient initially diagnosed as having ocular myasthenia gravis who showed progressive ophthalmoparesis and pseudoblepharospasm together with positive acetylcholine receptor antibodies. Repeated evaluation with high-frequency repetitive stimulation revealed an incremental response and elevated titers of antibodies against presynaptic calcium channels, confirming Lambert-Eaton myasthenic syndrome. Systemic evaluation revealed no malignant neoplasm but revealed euthyroid Hashimoto's disease. Immunomodulative therapy including plasma exchange and administration of an immunosuppressent (azathioprine) combined with a potassium-channel blocker (3,4-diaminopyridine) reduced the ocular abnormalities. We conclude that the ocular manifestations in this patient were probably caused by Lambert-Eaton myasthenic syndrome.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Kanzato N,Motomura M,Suehara M,Arimura K

doi

10.1002/(sici)1097-4598(199912)22:12<1727::aid-mus

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

1727-30

issue

12

eissn

0148-639X

issn

1097-4598

pii

10.1002/(SICI)1097-4598(199912)22:12<1727::AID-MUS

journal_volume

22

pub_type

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