Neurol. praxi. 2012;13(3):171-173
Lambert-Eaton myasthenic syndrome is a rare autoimunne presynaptic disorder of neuromuscular transmission. It is characterised by
muscle weakness, hyporeflexia and autonomic dysfunction. The syndrome is often associated with small cell lung carcinomas. It is a disease
of middle and older age. Rare cases have been reported in children. We present a 12-year boy with abnormal gait, slight bilateral
ptosis, hyporeflexia, xerostomia and vitiligo without evidence of neoplasms. High- frequency repetitive nerve stimulation with a large
increment and a P/Q- type calcium- channel antibodies level confirmed the diagnosis of the syndrome. Corticosteroids, azathioprine
and pyridostigmine improved patient´s weakness.
Published: May 31, 2012 Show citation