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Neurology 2000;54:2176-2178
© 2000 American Academy of Neurology


Brief Communications

Lambert-Eaton myasthenic syndrome: Electrodiagnostic findings and response to treatment

Richard W. Tim, MD, Janice M. Massey, MD and Donald B. Sanders, MD

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 syndrome—Repetitive nerve stimulation—Small cell lung cancer—Paraneoplastic syndrome—3—4-Diaminopyridine.




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