KMID : 0359720210390030222
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Journal of the Korean Neurological Association 2021 Volume.39 No. 3 p.222 ~ p.224
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Lambert-Eaton Myasthenic Syndrome Presenting as Cerebellar Symptoms
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Song Seung-Won
Cho Jin-Hyuk Jeong Seong-Ho
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Abstract
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A 79-year-old man visited neurology clinic due to gait ataxia and vertigo for 10 months. Neurologic examination revealed saccadic pursuit, mild dysmetria, impaired tandem gait, and areflexia that recovers after exercise. The amplitude of compound muscle action potentials recorded on the abductor digiti minimi increased up to 6,639.4% during repetitive nerve stimulation at 50 Hz stimulation. This case demonstrates that clinicians should consider Lambert-Eaton myasthenic syndrome as a differential diagnosis when a patient complains of gait ataxia and vertigo.
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KEYWORD
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Lambert-Eaton myasthenic syndrome, Cerebellar ataxia
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