This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Complaints of double vision or droopy eyelids have been reported in 0 to 65% of patients with Lambert–Eaton myasthenic syndrome (LEMS), although in none of these series was it the only complaint.1–3 Two cases of patients with solely ocular complaints initially but an overlap of LEMS and myasthenia gravis (MG) have been previously reported.4,5 This is a report of an LEMS patient with weakness limited to ocular muscles.
Case report.
A 52-year-old woman presented with an 8-month history of diplopia starting abruptly and initially constant. Subsequently, it became intermittent and evoked by lateral gaze. She noticed occasional droopiness of her eyelids. Her only other recent complaints were fatigue and a 19-pound weight gain over 1 year, which she attributed to lacking the energy to exercise. Dry mouth had been present for several years. She was disabled by rheumatoid arthritis, which had affected multiple other family members. She smoked one and a half packs of cigarettes per day for …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
- LAMBERT-EATON MYASTHENIC SYNDROME WITH PURE OCULAR WEAKNESS
- Reply from the author
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
You May Also be Interested in
Efficacy of Ubrogepant in the Acute Treatment of Migraine With Mild Pain vs Moderate or Severe Pain
Dr. Kathleen Digre and Dr. Kendra Pham
► Watch
Topics Discussed
Alert Me
Recommended articles
Decay of postexercise augmentation in the Lambert-Eaton myasthenic syndrome
Serologic profile of myasthenia gravis and distinction from the Lambert-Eaton myasthenic syndrome
A randomized trial of 3,4-diaminopyridine in Lambert-Eaton myasthenic syndrome
Clinical Reasoning: A 48-year-old woman with generalized weakness