Lee CJ, Lim SH, Shin CM, Kim YJ, Choe YK, Cheong SH, Lee KM, Lee JH, Kim YH, Cho KR, Lee SE, Bae JS. Lambert-Eaton myasthenic syndrome as a cause of persistent neuromuscular weakness after a mediastinoscopic biopsy -A case report-.
Korean J Anesthesiol 2010;
59:45-8. [PMID:
20651998 PMCID:
PMC2908227 DOI:
10.4097/kjae.2010.59.1.45]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2009] [Revised: 08/06/2009] [Accepted: 08/07/2009] [Indexed: 11/21/2022] Open
Abstract
There are many causes of prolonged postoperative muscle weakness, including drugs, residual anesthetics, cerebrovascular events, electrolyte imbalance, hypothermia, and neuromuscular disease. Neuromuscular diseases are relatively rare, with the most common being myasthenia gravis and Lambert-Eaton myasthenic syndrome (LEMS). We report an unusual case in which a patient who was given a muscle relaxant during mediastinoscopy developed postoperative muscle weakness that was ultimately diagnosed as secondary to LEMS.
Collapse