Amyotrophic lateral sclerosis patients and ocular ptosis

被引:15
作者
Pinto, Susana [2 ]
de Carvalho, Marnede [1 ,2 ]
机构
[1] Hosp Santa Maria, Dept Neurol, Av Prof Egas Moniz, P-1649028 Lisbon, Portugal
[2] Univ Lisbon, Fac Med, Inst Mol Med, Neuromuscular Unit, Lisbon, Portugal
关键词
amyotrophic lateral sclerosis; bulbar-onset; jitter; myasthenia gravis; ptosis;
D O I
10.1016/j.clineuro.2007.08.022
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Ptosis is not a feature observed in amyotrophic lateral sclerosis (ALS). We describe two old women with bulbar-onset ALS and rapid progression, in whom ptosis and diplopia were noted. They did not improve on pyridostigmine or steroids. Antibodies against acetylcholine receptor were negative, thymoma was excluded, but neurophysiological showed marked neuromuscular transmission failure in orbicularis oculi. We discuss the association between ALS and ocular myasthenia gravis in these cases. (C) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:168 / 170
页数:3
相关论文
共 18 条
  • [1] FALSE POSITIVE ANTIACETYLCHOLINE RECEPTOR ANTIBODIES IN MOTOR-NEURON DISEASE
    ABBOTT, RJ
    HOLDER, D
    CURRIE, S
    [J]. LANCET, 1986, 1 (8486) : 906 - 907
  • [2] AMYOTROPHIC-LATERAL-SCLEROSIS - ASSOCIATED CLINICAL DISORDERS AND IMMUNOLOGICAL EVALUATIONS
    APPEL, SH
    STOCKTONAPPEL, V
    STEWART, SS
    KERMAN, RH
    [J]. ARCHIVES OF NEUROLOGY, 1986, 43 (03) : 234 - 238
  • [3] El Escorial revisited: Revised criteria for the diagnosis of amyotrophic lateral sclerosis
    Brooks, BR
    Miller, RG
    Swash, M
    Munsat, TL
    [J]. AMYOTROPHIC LATERAL SCLEROSIS AND OTHER MOTOR NEURON DISORDERS, 2000, 1 (05): : 293 - 299
  • [4] Intravenous immunoglobulin in autoimmune neuromuscular diseases
    Dalakas, MC
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (19): : 2367 - 2375
  • [5] Clinical correlates with anti-MuSK antibodies in generalized seronegative myasthenia gravis
    Evoli, A
    Tonali, PA
    Padua, L
    Lo Monaco, M
    Scuderi, F
    Batocchi, AP
    Marino, M
    Bartoccioni, E
    [J]. BRAIN, 2003, 126 : 2304 - 2311
  • [6] Mitochondriopathy as a differential diagnosis of amyotrophic lateral sclerosis
    Finsterer, J
    [J]. AMYOTROPHIC LATERAL SCLEROSIS, 2002, 3 (04): : 219 - 224
  • [7] Intravenous immunoglobulin for myasthenia gravis
    Gajdos, Philippe
    Chevret, Sylvie
    Toyka, Klaus V.
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (12):
  • [8] Electrophysiological study of neuromuscular system involvement in mitochondrial cytopathy
    Girlanda, P
    Toscano, A
    Nicolosi, C
    Sinicropi, S
    Picciolo, G
    Macaione, V
    Quartarone, A
    Messina, C
    [J]. CLINICAL NEUROPHYSIOLOGY, 1999, 110 (07) : 1284 - 1289
  • [9] AMYOTROPHIC LATERAL SCLEROSIS WITH OPHTHALMOPLEGIA - CLINICOPATHOLOGIC STUDY
    HARVEY, DG
    TORACK, RM
    ROSENBAUM, HE
    [J]. ARCHIVES OF NEUROLOGY, 1979, 36 (10) : 615 - 617
  • [10] MITTAG TW, 1980, NEW ENGL J MED, V302, P868