Child neurology: diagnosis of Lambert-Eaton myasthenic syndrome in children.

Abstract:

OBJECTIVE:To report a case of Lambert-Eaton myasthenic syndrome (LEMS) in a child and review the existing literature of LEMS in children. METHODS:We report a pediatric case of LEMS with the classic clinical triad of proximal weakness, autonomic dysfunction, and areflexia; the characteristic increment in compound motor action potential on high-frequency repetitive nerve stimulation; and positive serum P/Q-type voltage-gated calcium channel antibodies. Only 11 pediatric cases of LEMS have been reported in the literature. RESULTS:The patient's presentation with LEMS led to the diagnosis of occult neuroblastoma. Based on review of the existing pediatric literature, no consistent clinical or electrodiagnostic criteria exist to diagnose LEMS in children. CONCLUSIONS:There exists a need for consistent clinical criteria and electrodiagnostic testing for prompt diagnosis of LEMS in children. Prompt identification of LEMS will alert the physician to search for malignancy or another immune-mediated process.

journal_name

Neurology

journal_title

Neurology

authors

Morgan-Followell B,de Los Reyes E

doi

10.1212/WNL.0b013e318293e14e

subject

Has Abstract

pub_date

2013-05-21 00:00:00

pages

e220-2

issue

21

eissn

0028-3878

issn

1526-632X

pii

80/21/e220

journal_volume

80

pub_type

杂志文章,评审
  • Cognitive impairment, behavioral impairment, depression, and wish to die in an ALS cohort.

    abstract:OBJECTIVE:To evaluate relationships among cognitive, behavioral, and psychiatric/psychosocial measures assessed in a multicenter cohort of patients with amyotrophic lateral sclerosis (ALS). METHODS:Recently diagnosed patients with definite or probable ALS diagnosis were administered 7 standardized psychiatric/psychoso...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000003035

    authors: Rabkin J,Goetz R,Murphy JM,Factor-Litvak P,Mitsumoto H,ALS COSMOS Study Group.

    更新日期:2016-09-27 00:00:00

  • Central nervous system disease in patients with systemic lupus erythematosus.

    abstract::Central nervous system (CNS) dysfunction in patients with systemic lupus erythematosus (SLE) is highly variable, although it is often described under a single heading of "neuropsychiatric" or "CNS" SLE. To clarify these CNS abnormalities, we studied 91 lupus patients, 63 of whom had CNS symptoms or signs, over 599 pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.9.1649

    authors: Futrell N,Schultz LR,Millikan C

    更新日期:1992-09-01 00:00:00

  • PRRT2 mutations: a major cause of paroxysmal kinesigenic dyskinesia in the European population.

    abstract:OBJECTIVE:Paroxysmal kinesigenic dyskinesia (PKD) is a rare disorder characterized by recurrent attacks of hyperkinetic movements. PKD can be isolated or associated with benign infantile seizures as part of the infantile convulsions with choreoathetosis (ICCA) syndrome. Mutations in the PRRT2 gene were recently identif...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31825f06c3

    authors: Méneret A,Grabli D,Depienne C,Gaudebout C,Picard F,Dürr A,Lagroua I,Bouteiller D,Mignot C,Doummar D,Anheim M,Tranchant C,Burbaud P,Jedynak CP,Gras D,Steschenko D,Devos D,Billette de Villemeur T,Vidailhet M,Brice A,

    更新日期:2012-07-10 00:00:00

  • Varicella optic neuritis.

    abstract::A 14-year-old girl developed severe bilateral optic neuritis 1 week after the onset of chickenpox. Though previous case reports state that complete recovery is the rule, this child had a persistent decrease in visual acuity in the right eye and loss of color vision and defects in visual fields in both eyes. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.3.501

    authors: Purvin V,Hrisomalos N,Dunn D

    更新日期:1988-03-01 00:00:00

  • Familial temporal lobe epilepsy with febrile seizures.

    abstract::Described are the clinical, EEG, MR, and genetic characteristics of 106 members of a family with autosomal dominant temporal lobe epilepsy (TLE) and febrile seizures (FS), with 22 affected individuals. Eleven patients had a history of FS, and 10 patients had TLE. EEG showed epileptic activity in five. None had hippoca...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.9.1429

    authors: Depondt C,Van Paesschen W,Matthijs G,Legius E,Martens K,Demaerel P,Wilms G

    更新日期:2002-05-14 00:00:00

  • Irreversible spinal cord injury as a complication of subarachnoid ethanol neurolysis.

    abstract::Subarachnoid neurolysis using ethanol to destroy selectively the posterior roots of the spinal cord is a method for providing pain relief in patients with advanced cancer. Weakness of the extremities is a complication of the procedure that has been attributed to spread of the neurolytic agent to the anterior roots. Th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.7.1522

    authors: McGarvey ML,Ferrante FM,Patel RS,Maljian JA,Stecker M

    更新日期:2000-04-11 00:00:00

  • Deep gray matter involvement in neurobrucellosis.

    abstract::A 27-year-old man, recent visitor to the Middle East, presented with 6-week history of fever (up to 102°F) followed by altered behavior and left hemiparesis. CSF was acellular with raised protein (138 mg/dL). CSF bacterial culture was sterile; adenosine deaminase normal (3 U/L); cryptococcal antigen, Venereal Disease ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31827deb63

    authors: Rajan R,Khurana D,Kesav P

    更新日期:2013-01-15 00:00:00

  • Neuroanatomy of the self: evidence from patients with frontotemporal dementia.

    abstract:OBJECTIVE:To evaluate the frequency and types of change in "self" seen in frontotemporal dementia (FTD) and to determine the relative involvement of the nondominant and dominant frontal and temporal brain regions in FTD patients with or without changes in a sense of self using neuropsychology tests and neuroimaging. B...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.5.817

    authors: Miller BL,Seeley WW,Mychack P,Rosen HJ,Mena I,Boone K

    更新日期:2001-09-11 00:00:00

  • Neurosyphilis in AIDS patients: initial CSF VDRL may be negative.

    abstract::We report 2 HIV-seropositive patients with neurosyphilis whose initial CSF VDRL tests were negative. The CSF VDRL became positive after 12 days of IV penicillin treatment for syphilitic meningitis in the 1st patient. The 2nd patient developed syphilitic polyradiculopathy and a positive CSF VDRL 3 months after treatmen...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.3_part_1.541

    authors: Feraru ER,Aronow HA,Lipton RB

    更新日期:1990-03-01 00:00:00

  • Amygdala and hippocampal volumes in children with Down syndrome: a high-resolution MRI study.

    abstract::The objective of this study was to use high-resolution MRI techniques to determine whether children with Down syndrome exhibit decreases in hippocampal and amygdala volumes similar to those demonstrated in recent studies of adults with this condition. When corrected for overall brain volumes, amygdala volumes did not ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.7.972

    authors: Pinter JD,Brown WE,Eliez S,Schmitt JE,Capone GT,Reiss AL

    更新日期:2001-04-10 00:00:00

  • Identification, causation, alleviation, and prevention of complications (ICAP): an approach to symptom and disability management in multiple sclerosis.

    abstract::Comprehensive management of patients with multiple sclerosis (MS) includes treatment to modify the disease course and interventions to address the persistent symptoms and consequences of this chronic illness, which can affect patients for decades. Although much excitement and attention accompanies new therapeutic init...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31818f3da5

    authors: Cohen BA

    更新日期:2008-12-09 00:00:00

  • Mapping of the gene for X-linked dominant Charcot-Marie-Tooth neuropathy.

    abstract::We performed a clinical study and linkage analysis on 278 subjects (66 affected) belonging to eight families with X-linked dominant Charcot-Marie-Tooth (CMT) neuropathy. This form affects 11.8% of CMT patients in Iowa. Motor nerve conduction velocities (MNCVs) were significantly slowed consistent with type 1 CMT. Fift...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.4.903

    authors: Ionasescu VV,Trofatter J,Haines JL,Ionasescu R,Searby C

    更新日期:1992-04-01 00:00:00

  • PET studies of cerebral glucose metabolism in idiopathic torticollis.

    abstract::Regional cerebral glucose metabolism was studied in 16 patients with idiopathic torticollis, using positron emission tomography. Analysis of subcortical regions revealed no consistent focal abnormality of cerebral metabolic rate for glucose, but there was a bilateral breakdown of the normal relationships between the t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.5.653

    authors: Stoessl AJ,Martin WR,Clark C,Adam MJ,Ammann W,Beckman JH,Bergstrom M,Harrop R,Rogers JG,Ruth TJ

    更新日期:1986-05-01 00:00:00

  • Beta oscillations and urinary voiding in Parkinson disease.

    abstract:OBJECTIVES:To investigate the role of beta oscillations in urinary voiding and their association with lower urinary tract symptoms in Parkinson disease (PD). METHODS:We used surgically implanted deep brain stimulation electrodes to record local field potential signals from the subthalamic nucleus (STN) and globus pall...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005355

    authors: Roy HA,Aziz TZ,Fitzgerald JJ,Green AL

    更新日期:2018-04-24 00:00:00

  • Antiplatelets, ACE inhibitors, and statins combination reduces stroke severity and tissue at risk.

    abstract:BACKGROUND:Antiplatelets (APL), angiotensin-converting enzyme (ACE) inhibitors (ACEI), and statins (STAT) are commonly used for stroke prevention. The authors examined whether combination therapy with these agents has additive protective effects in reducing ischemic stroke severity. METHODS:The authors retrospectively...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000208406.45440.84

    authors: Kumar S,Savitz S,Schlaug G,Caplan L,Selim M

    更新日期:2006-04-25 00:00:00

  • Discrepancy between stimulus response and tolerance of pain in Alzheimer disease.

    abstract:BACKGROUND:Affective-motivational and sensory-discriminative aspects of pain were investigated in patients with mild to moderate Alzheimer disease (AD) and healthy elderly controls using the cold pressor test tolerance and repetitive stimuli of warmth and heat stimuli, evaluating the stimulus-response function. METHOD...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001465

    authors: Jensen-Dahm C,Werner MU,Jensen TS,Ballegaard M,Andersen BB,Høgh P,Waldemar G

    更新日期:2015-04-14 00:00:00

  • A competency-based longitudinal core curriculum in medical neuroscience.

    abstract::Current medical educational theory encourages the development of competency-based curricula. The Accreditation Council for Graduate Medical Education's 6 core competencies for resident education (medical knowledge, patient care, professionalism, interpersonal and communication skills, practice-based learning, and syst...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000646

    authors: Merlin LR,Horak HA,Milligan TA,Kraakevik JA,Ali II

    更新日期:2014-07-29 00:00:00

  • MRI characteristics of the MLF in MS patients with chronic internuclear ophthalmoparesis.

    abstract:OBJECTIVE:The authors imaged the medial longitudinal fasciculus (MLF) in 58 patients with MS and chronic internuclear ophthalmoparesis (INO) to determine which MRI technique best shows the characteristic lesion associated with this ocular motor syndrome. METHODS:Using quantitative infrared oculography, the authors det...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.5.762

    authors: Frohman EM,Zhang H,Kramer PD,Fleckenstein J,Hawker K,Racke MK,Frohman TC

    更新日期:2001-09-11 00:00:00

  • Phenobarbital and phenytoin in neonatal seizures: metabolism and tissue distribution.

    abstract::Loading doses of 15 to 20 mg per kilogram of both phenobarbital and phenytoin, administered intravenously, are necessary in the newborn to achieve rapid therapeutic plasma anticonvulsant levels. Maintenance doses of 3 to 4 mg per kilogram of both agents will maintain therapeutic levels. Phenytoin is, however, not pred...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.9.1107

    authors: Painter MJ,Pippenger C,Wasterlain C,Barmada M,Pitlick W,Carter G,Abern S

    更新日期:1981-09-01 00:00:00

  • Prospective and longitudinal long-term employment outcomes after resective epilepsy surgery.

    abstract:OBJECTIVE:To investigate long-term employment outcomes after resective epilepsy surgery in a national population-based cohort of adults. METHODS:In the Swedish National Epilepsy Surgery Register, all adults who were operated with resective epilepsy surgery from 1995 to 2010 were identified. Two-year follow-up was avai...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002069

    authors: Edelvik A,Flink R,Malmgren K

    更新日期:2015-10-27 00:00:00

  • Concerns of surrogate decision makers for patients with acute brain injury: A US population survey.

    abstract:OBJECTIVE:To determine whether groups of surrogates for patients with severe acute brain injury (SABI) with poor prognosis can be identified based on their prioritization of goals-of-care (GOC) decisional concerns, an online survey of 1,588 adults recruited via a probability-based panel representative of the US populat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009406

    authors: Hwang DY,Knies AK,Mampre D,Kolenikov S,Schalk M,Hammer H,White DB,Holloway RG,Sheth KN,Fraenkel L

    更新日期:2020-05-12 00:00:00

  • Dementia diagnoses from clinical and neuropsychological data compared: the Cache County study.

    abstract:OBJECTIVE:To validate a neuropsychological algorithm for dementia diagnosis. METHODS:We developed a neuropsychological algorithm in a sample of 1,023 elderly residents of Cache County, UT. We compared algorithmic and clinical dementia diagnoses both based on DSM-III-R criteria. The algorithm diagnosed dementia when th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.6.1290

    authors: Tschanz JT,Welsh-Bohmer KA,Skoog I,West N,Norton MC,Wyse BW,Nickles R,Breitner JC

    更新日期:2000-03-28 00:00:00

  • Longitudinal structural and metabolic changes in frontotemporal dementia.

    abstract:OBJECTIVE:To compare the sensitivity of structural MRI and 18F-fludeoxyglucose PET (18FDG-PET) to detect longitudinal changes in frontotemporal dementia (FTD). METHODS:Thirty patients with behavioral variant FTD (bvFTD), 7 with nonfluent/agrammatic variant primary progressive aphasia (nfvPPA), 16 with semantic variant...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009760

    authors: Bejanin A,Tammewar G,Marx G,Cobigo Y,Iaccarino L,Kornak J,Staffaroni AM,Dickerson BC,Boeve BF,Knopman DS,Gorno-Tempini M,Miller BL,Jagust WJ,Boxer AL,Rosen HJ,Rabinovici GD

    更新日期:2020-07-14 00:00:00

  • Autopsy validation of 123I-FP-CIT dopaminergic neuroimaging for the diagnosis of DLB.

    abstract:OBJECTIVE:To conduct a validation study of 123I-N-fluoropropyl-2b-carbomethoxy-3b-(4-iodophenyl) nortropane (123I-FP-CIT) SPECT dopaminergic imaging in the clinical diagnosis of dementia with Lewy bodies (DLB) with autopsy as the gold standard. METHODS:Patients >60 years of age with dementia who had undergone 123I-FP-...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003512

    authors: Thomas AJ,Attems J,Colloby SJ,O'Brien JT,McKeith I,Walker R,Lee L,Burn D,Lett DJ,Walker Z

    更新日期:2017-01-17 00:00:00

  • Phase I/II multicenter ketogenic diet study for adult superrefractory status epilepticus.

    abstract:OBJECTIVE:To investigate the feasibility, safety, and efficacy of a ketogenic diet (KD) for superrefractory status epilepticus (SRSE) in adults. METHODS:We performed a prospective multicenter study of patients 18 to 80 years of age with SRSE treated with a KD treatment algorithm. The primary outcome measure was signif...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000003690

    authors: Cervenka MC,Hocker S,Koenig M,Bar B,Henry-Barron B,Kossoff EH,Hartman AL,Probasco JC,Benavides DR,Venkatesan A,Hagen EC,Dittrich D,Stern T,Radzik B,Depew M,Caserta FM,Nyquist P,Kaplan PW,Geocadin RG

    更新日期:2017-03-07 00:00:00

  • Efficacy of High-Intensity Aerobic Exercise on Brain MRI Measures in Multiple Sclerosis.

    abstract:OBJECTIVE:To determine whether 24 weeks of high-intensity progressive aerobic exercise (PAE) affects brain MRI measures in people with multiple sclerosis (MS). METHODS:We conducted a randomized, controlled, phase 2 trial (with a crossover follow-up) including an exercise group (supervised PAE followed by self-guided p...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000011241

    authors: Langeskov-Christensen M,Grøndahl Hvid L,Nygaard MKE,Ringgaard S,Jensen HB,Nielsen HH,Petersen T,Stenager E,Eskildsen SF,Dalgas U

    更新日期:2021-01-12 00:00:00

  • Relative effect of APOE ε4 on neuroimaging biomarker changes across the lifespan.

    abstract:OBJECTIVE:To provide a comprehensive understanding of APOE ε4 effects across the lifespan on the 3 main neuroimaging biomarkers. METHODS:Two hundred seven community-dwelling, cognitively normal APOE ε4 carriers and noncarriers aged 20-87 years were involved in this study. They underwent structural MRI, fluorodeoxygluc...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/WNL.0000000000003234

    authors: Gonneaud J,Arenaza-Urquijo EM,Fouquet M,Perrotin A,Fradin S,de La Sayette V,Eustache F,Chételat G

    更新日期:2016-10-18 00:00:00

  • Human herpesvirus 8 DNA in CNS lymphomas from patients with and without AIDS.

    abstract:BACKGROUND AND OBJECTIVE:Human herpesvirus 8 (HHV-8) has been found in association with Kaposi's sarcomas in human immunodeficiency virus (HIV)-positive and -negative patients, primary effusion lymphomas (PELs), multicentric Castleman's disease, and multiple myeloma. The PELs share several features with acquired immuno...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.2.335

    authors: Corboy JR,Garl PJ,Kleinschmidt-DeMasters BK

    更新日期:1998-02-01 00:00:00

  • Autoimmunity and ALS.

    abstract::Significant evidence has accrued suggesting that antibodies to voltage-gated calcium channel are observed in at least some patients with sporadic ALS (SALS) and that such antibodies alter the function of these ion channels in vitro and in vivo. Further, passive transfer of these immunoglobulin-containing fractions int...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.47.4_suppl_2.40s

    authors: Smith RG,Siklos L,Alexianu ME,Engelhardt JI,Mosier DR,Colom L,Habib Mohamed A,Appel SH

    更新日期:1996-10-01 00:00:00

  • Venlafaxine versus imipramine in painful polyneuropathy: a randomized, controlled trial.

    abstract:BACKGROUND:Tricyclic antidepressants (TCA) are often used in the treatment of painful polyneuropathy. Venlafaxine is a serotonin and weak noradrenaline reuptake inhibitor antidepressant with a different profile of other pharmacologic actions from those of TCA. OBJECTIVE:To test if venlafaxine would relieve painful pol...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000058749.49264.bd

    authors: Sindrup SH,Bach FW,Madsen C,Gram LF,Jensen TS

    更新日期:2003-04-22 00:00:00