Postexercise facilitation of reflexes is not common in Lambert-Eaton myasthenic syndrome.

Odabasi, Z; Demirci, M; Kim, D S; Lee, D K; Ryan, H F; Claussen, G C; Tseng, A; Oh, S J · Neurology · 2002

case_series · Level IV

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Abstract

Postexercise facilitation (PEF) with clinical reflexes, H-reflex, and T-reflexes at the ankle and knee was systematically studied in 16 patients with Lambert-Eaton myasthenic syndrome (LEMS). PEF was observed in ankle and knee deep tendon reflexes in five patients, in H-reflex in three patients, and in T-reflexes in six patients. When all reflex tests were combined, 7 (43.7%) of 16 patients showed PEF by at least one test. The authors conclude that the PEF of reflexes, the most helpful diagnostic clinical marker for LEMS, is not common.

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