Document Detail


Paradoxical lid elevation with sustained upgaze: a sign of Lambert-Eaton syndrome.
MedLine Citation:
PMID:  1922182     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Myasthenia gravis and Lambert-Eaton myasthenic syndrome are causes of acquired extraocular muscle weakness and ptosis. Exacerbation of ptosis after sustained upgaze is a clinically useful sign in the diagnosis of myasthenia gravis. A 54-year-old woman with established Lambert-Eaton myasthenic syndrome exhibited transient improvement of her ptosis after sustained upgaze. We suggest that paradoxical lid elevation after sustained upgaze may be a clinically useful sign in distinguishing Lambert-Eaton myasthenic syndrome from myasthenia gravis.
Authors:
L A Breen; L Gutmann; J F Brick; J R Riggs
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Muscle & nerve     Volume:  14     ISSN:  0148-639X     ISO Abbreviation:  Muscle Nerve     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-11-18     Completed Date:  1991-11-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803146     Medline TA:  Muscle Nerve     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  863-6     Citation Subset:  IM    
Affiliation:
Department of Neurology, West Virginia University School of Medicine, Morgantown.
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MeSH Terms
Descriptor/Qualifier:
Blepharoptosis / etiology*,  physiopathology
Diagnosis, Differential
Electrophysiology
Eye Movements / physiology
Eyelids / physiopathology
Female
Humans
Lambert-Eaton Myasthenic Syndrome / complications,  diagnosis*
Middle Aged
Myasthenia Gravis / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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