Document Detail


Enhanced ptosis in Lambert-Eaton myasthenic syndrome.
MedLine Citation:
PMID:  9304536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with Lambert-Eaton myasthenic syndrome (LEMS) presented with a bilateral ptosis that improved transiently after sustained upgaze. The contralateral ptosis became aggravated on manually lifting either eyelid with and without fixation (enhanced ptosis). Enhanced ptosis is a common finding in many patients with ptosis resulting from myasthenia gravis; however, to our knowledge, this is the first description of this sign in a patient with LEMS. The phenomenon of enhanced ptosis should be sought in all patients with ptosis. Improvement of the ptosis after sustained upward gaze suggests the diagnosis of LEMS.
Authors:
P W Brazis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  17     ISSN:  1070-8022     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-10-14     Completed Date:  1997-10-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  202-3     Citation Subset:  IM    
Affiliation:
Department of Neurology, Mayo Clinic-Jacksonville 32224, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blepharoptosis / etiology*,  physiopathology
Eyelids / physiopathology
Female
Humans
Lambert-Eaton Myasthenic Syndrome / complications*

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