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      진단 딜레마: 반복신경자극검사가 정상인 램버트-이튼근무력증후군 = A Diagnostic Dilemma: Normal Repetitive Nerve Stimulation in Lambert-Eaton Myasthenic Syndrome

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      https://www.riss.kr/link?id=A108517398

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      다국어 초록 (Multilingual Abstract)

      It is important for the diagnosis of Lambert-Eaton myasthenic syndrome (LEMS) to confirm the incremental response at high-rate stimulation or after brief exercise in the repetitive nerve stimulation (RNS) test. Therefore, it may be difficult to diagno...

      It is important for the diagnosis of Lambert-Eaton myasthenic syndrome (LEMS) to confirm the incremental response at high-rate stimulation or after brief exercise in the repetitive nerve stimulation (RNS) test. Therefore, it may be difficult to diagnose LEMS if the RNS test is normal initially. We report a patient with LEMS whose diagnosis was delayed due to normal RNS findings. We believe that anti-P/Q-type voltage-gated calcium channel antibody testing is crucial in the diagnosis of LEMS.

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      참고문헌 (Reference) 논문관계도

      1 Lipka AF, "Lowering the cutoffvalue for increment increases the sensitivity for the diagnosis of Lambert-Eaton myasthenic syndrome" 62 : 111-114, 2020

      2 Hülsbrink R, "Lambert-Eaton myasthenic syndrome-diagnosis, pathogenesis and therapy" 125 : 2328-2336, 2014

      3 Schoser B, "Lambert-Eaton myasthenic syndrome(LEMS) : a rare autoimmune presynaptic disorder often associated with cancer" 264 : 1854-1863, 2017

      4 Tim RW, "Lambert-Eaton myasthenic syndrome : electrodiagnostic findings and response to treatment" 54 : 2176-2178, 2000

      5 Ivanovski T, "Lambert-Eaton myasthenic syndrome : early diagnosis is key" 9 : 27-37, 2019

      6 Tim RW, "Lambert-Eaton myasthenic syndrome (LEMS). Clinical and electrodiagnostic features and response to therapy in 59 patients" 841 : 823-826, 1998

      7 Oh SJ, "Electrophysiological differences in seropositive and seronegative Lambert-Eaton myasthenic syndrome" 35 : 178-183, 2007

      8 Oh SJ, "Electrophysiological diagnostic criteria of Lambert-Eaton myasthenic syndrome" 32 : 515-520, 2005

      9 Maddison P, "Distribution of electrophysiological abnormality in Lambert-Eaton myasthenic syndrome" 65 : 213-217, 1998

      10 Oh SJ, "Distinguishing features of the repetitive nerve stimulation test between Lambert-Eaton myasthenic syndrome and myasthenia gravis, 50-year reappraisal" 19 : 66-75, 2017

      1 Lipka AF, "Lowering the cutoffvalue for increment increases the sensitivity for the diagnosis of Lambert-Eaton myasthenic syndrome" 62 : 111-114, 2020

      2 Hülsbrink R, "Lambert-Eaton myasthenic syndrome-diagnosis, pathogenesis and therapy" 125 : 2328-2336, 2014

      3 Schoser B, "Lambert-Eaton myasthenic syndrome(LEMS) : a rare autoimmune presynaptic disorder often associated with cancer" 264 : 1854-1863, 2017

      4 Tim RW, "Lambert-Eaton myasthenic syndrome : electrodiagnostic findings and response to treatment" 54 : 2176-2178, 2000

      5 Ivanovski T, "Lambert-Eaton myasthenic syndrome : early diagnosis is key" 9 : 27-37, 2019

      6 Tim RW, "Lambert-Eaton myasthenic syndrome (LEMS). Clinical and electrodiagnostic features and response to therapy in 59 patients" 841 : 823-826, 1998

      7 Oh SJ, "Electrophysiological differences in seropositive and seronegative Lambert-Eaton myasthenic syndrome" 35 : 178-183, 2007

      8 Oh SJ, "Electrophysiological diagnostic criteria of Lambert-Eaton myasthenic syndrome" 32 : 515-520, 2005

      9 Maddison P, "Distribution of electrophysiological abnormality in Lambert-Eaton myasthenic syndrome" 65 : 213-217, 1998

      10 Oh SJ, "Distinguishing features of the repetitive nerve stimulation test between Lambert-Eaton myasthenic syndrome and myasthenia gravis, 50-year reappraisal" 19 : 66-75, 2017

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