PARADOXICAL LID ELEVATION WITH SUSTAINED UPGAZE - A SIGN OF LAMBERT-EATON SYNDROME

被引:14
作者
BREEN, LA [1 ]
GUTMANN, L [1 ]
BRICK, JF [1 ]
RIGGS, JR [1 ]
机构
[1] W VIRGINIA UNIV,MED CTR,SCH MED,DEPT OPHTHALMOL,MORGANTOWN,WV 26506
关键词
LAMBERT-EATON SYNDROME; MYASTHENIC SYNDROME; MYASTHENIA GRAVIS; PTOSIS; OPHTHALMOPLEGIA;
D O I
10.1002/mus.880140911
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:863 / 866
页数:4
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