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From the Duke University Medical Center, Durham, NC.
Address correspondence and reprint requests to Dr. Richard W. Tim, Box 31105, Duke University Medical Center, Durham, NC 27710; e-mail: rtim{at}acpub.duke.edu
The authors reviewed the incidence of cancer, repetitive nerve stimulation findings, and response to treatment in 73 patients with Lambert-Eaton myasthenic syndrome. Thirty-one patients (42%) had lung cancer, 29 small cell. Doubling of the compound motor action potential amplitude in three tested distal muscles was seen in only 41% of patients. Treatment with 3,4-diaminopyridine produced moderate to marked self-reported functional improvement in 79% of the 53 treated patients.
Key words: Lambert-Eaton myasthenic syndromeRepetitive nerve stimulationSmall cell lung cancerParaneoplastic syndrome34-Diaminopyridine.
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