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KMID : 0356920100590010045
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Korean Journal of Anesthesiology
2010 Volume.59 No. 1 p.45 ~ p.48
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Lambert-Eaton myasthenic syndrome as a cause of persistent neuromuscular weakness after a mediastinoscopic biopsy -A case report-
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Lee Cheol-Jin
Lim Se-Hun
Shin Chee-Mahn
Kim Young-Jae
Choe Young-Kyun
Cheong Soon-Ho
Lee Kun-Moo
Lee Jeong-Han
Kim Young-Hwan
Cho Kwang-Rae
Lee Sang-Eun
Bae Jong-Suk
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Abstract
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There are many causes of prolonged postoperative muscle weakness, including drugs, residual anesthetics, cerebrovascular events, electrolyte imbalance, hypothermia, and neuromuscular disease. Neuromuscular diseases are relatively rare, with the most common being myasthenia gravis and Lambert-Eaton myasthenic syndrome (LEMS). We report an unusual case in which a patient who was given a muscle relaxant during mediastinoscopy developed postoperative muscle weakness that was ultimately diagnosed as secondary to LEMS.
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KEYWORD
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Lambert-Eaton myasthenic syndrome, Neuromuscular disease, Postoperative muscular weakness
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