title: A neuromuscular transmission disorder: combined myasthenia gravis and Lambert Eaton syndrome in one patient.
abstract: The distinction between myasthenia gravis and Lambert Eaton myasthenic syndrome can usually be made by the clinical and neurophysiological features. A patient was observed with features which suggested a combination of both disorders. This has been described in few patients before. The importance of electromyography in both distal and proximal limb muscles for a correct diagnosis is demonstrated. Only in proximal nerve stimulation tests was proof found of the existence of both syndromes.
authors.affiliation: Department of Neurology, Academic Hospital Free University, Amsterdam, the Netherlands.
authors.forename: M J
authors.initials: MJ
authors.lastname: Taphoorn
authors.forename: H
authors.initials: H
authors.lastname: Van Duijn
authors.forename: E C
authors.initials: EC
authors.lastname: Wolters
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004558:Electric Stimulation; D004576:Electromyography; D005260:Female; D006801:Humans; D009138:Musculocutaneous Nerve / Q000503:physiopathology; D009157:Myasthenia Gravis / Q000503:physiopathology*; D009469:Neuromuscular Junction / Q000503:physiopathology*; D009435:Synaptic Transmission