Managing non-paraneoplastic Lambert-Eaton myasthenic syndrome: clinical characteristics in 25 German patients

J Neuroimmunol. 2009 Dec 10;217(1-2):90-4. doi: 10.1016/j.jneuroim.2009.09.017. Epub 2009 Oct 14.

Abstract

In about 40% of patients LEMS is not a paraneoplastic phenomenon (NT-LEMS). Several clinical aspects important to these patients remain open, especially the question when a LEMS can definitely be diagnosed as NT-LEMS. Here we describe a series of 25 German NT-LEMS patients regarding their clinical characteristics, duration of symptoms, value of serological markers, paraneoplastic antibodies and FDG-PET/CT. Furthermore, we discuss the current diagnostic criteria of NT-LEMS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Diagnosis, Differential
  • Female
  • Fluorodeoxyglucose F18
  • Germany
  • Humans
  • Lambert-Eaton Myasthenic Syndrome / diagnosis*
  • Lambert-Eaton Myasthenic Syndrome / diagnostic imaging
  • Lambert-Eaton Myasthenic Syndrome / physiopathology
  • Lambert-Eaton Myasthenic Syndrome / therapy*
  • Male
  • Middle Aged
  • Phosphopyruvate Hydratase / metabolism
  • Positron-Emission Tomography / methods
  • Young Adult

Substances

  • Fluorodeoxyglucose F18
  • Phosphopyruvate Hydratase