title: The Lambert-Eaton myasthenic syndrome: a cause of delayed recovery from general anesthesia.
abstract: A 70-year-old man required prolonged ventilation after surgery to remove a rectal neoplasm. The cause of the slow recovery from the effects of neuromuscular blocking agents used during his anesthetic was the Lambert-Eaton myasthenic syndrome (LEMS). Before surgery, he had no neuromuscular symptoms, even in retrospect. LEMS should be considered in the diagnosis of prolonged recovery from neuromuscular blockade, even in previously asymptomatic patients.
authors.affiliation: Clinical Neurophysiology Laboratory, Massachusetts General Hospital, Boston 02114.
authors.forename: R A
authors.initials: RA
authors.lastname: Macdonell
authors.forename: J M
authors.initials: JM
authors.lastname: Rich
authors.forename: D
authors.initials: D
authors.lastname: Cros
authors.forename: B T
authors.initials: BT
authors.lastname: Shahani
authors.forename: H H
authors.initials: HH
authors.lastname: Ali
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000762:Anesthesia Recovery Period; D006801:Humans; D015624:Lambert-Eaton Myasthenic Syndrome / Q000503:physiopathology*; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology*; D012004:Rectal Neoplasms / Q000601:surgery