Weakness, Hypokalemia, and Dengue
No abstract available (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Letters to the Editor Source Type: research

Paraneoplastic Necrotizing Myopathy Associated With Neuroendocrine Carcinoma
No abstract available (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Letters to the Editor Source Type: research

Unusual Case of Facioscapulohumeral Dystrophy
No abstract available (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Letters to the Editor Source Type: research

Atypical Asymmetric Guillain–Barré Syndrome With Acute Rhabdomyolysis
No abstract available (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Letters to the Editor Source Type: research

What is in the Literature?
Abstract: This edition of “What is in the Literature?” will focus on motor neuron disease (MND), including adult forms [amyotrophic lateral sclerosis (ALS), progressive muscular atrophy (PMA), primary lateral sclerosis (PLS), progressive bulbar palsy (PBA), and monomelic mononeuropathy (MMND)], and childhood forms [spinal muscle atrophy (SMA)]. (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Review Article Source Type: research

Paraneoplastic Lambert–Eaton Myasthenic Syndrome With Limbic Encephalitis: Clinical Correlation With the Coexistence of Anti-VGCC and Anti-GABAB Receptor Antibodies
Conclusions: This case describes a patient with Lambert–Eaton myasthenic syndrome, limbic encephalitis, and autoantibodies to VGCC and GABAB receptor. Atypical presentation of paraneoplastic neurological syndromes could indicate the presence of a second antibody that may have significant impact on therapy. (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Case Review Source Type: research

Guillain–Barré Syndrome Triggered by Immune Checkpoint Inhibitors: A Case Report and Literature Review
We describe a case of Guillain–Barré syndrome (GBS) after the treatment with ipilimumab and nivolumab and review 4 other reported cases. We confirmed the diagnosis of GBS by electrodiagnostic and cerebrospinal fluid studies. Electrodiagnostic results showed findings consistent with acquired demyelinating polyneuropathy and cerebrospinal fluid showed albuminocytologic dissociation. All patients were treated with intravenous immunoglobulin or other immunomodulating therapy. Among 5 cases which include our patient, 2 did well, 1 did not improve, and 2 died of respiratory insufficiency and multiorgan failure. Enhancing T-ce...
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Case Review Source Type: research

Autonomic Reflex Screen Test Abnormalities in Cold-Induced Sweating Syndrome Type 1
Abstract: Cold-induced sweating syndrome (CISS) is a rare autosomal recessive disease due to mutation in the Cytokine receptor-like factor 1 (CRLF1). The characteristic symptom of CISS is the tendency to sweat profusely especially in the upper body and hands when the patient is exposed to cold temperature. We sought to first report the findings of autonomic reflex screen in a case of CISS type 1 with Cytokine receptor-like factor 1 mutation. Valsalva morphology, Valsalva ratio, and heart rate response to deep breathing were normal for the patient's age. Quantitative sudomotor axon reflex test showed nonlength dependent dec...
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Case Review Source Type: research

Distinguishing Features of the Repetitive Nerve Stimulation Test Between Lambert–Eaton Myasthenic Syndrome and Myasthenia Gravis, 50-Year Reappraisal
Conclusions: Distinguishing features of the RNS test in LEMS and MG are confirmed in this direct comparison study: the low compound muscle action potential amplitude, decrement at LRS, and increment at high-rate stimulation or postexercise facilitation for LEMS and normal compound muscle action potential amplitude and decrement at LRS for MG. (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Original Article Source Type: research

Pediatric CIDP: Clinical Features and Response to Treatment
Conclusions: Pulse oral corticosteroid therapy holds promise as an alternative treatment to IVIG in pediatric CIDP. Future multicenter studies are warranted to determine the comparative efficacy and safety of weekly pulse oral corticosteroids versus IVIg in pediatric CIDP. (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Original Article Source Type: research

Outcome of Guillain–Barré Syndrome in Tertiary Care Centers in Thailand
Background: Guillain–Barré syndrome (GBS), a common acute polyneuropathy, is seen worldwide with significant morbidity and mortality. GBS consists of a number of subtypes. Objective: The aim of this study is to identify clinical characteristics, electrophysiologic changes, clinical course, treatment, and outcome of GBS in Thailand. Material and Methods: Retrospective study of GBS patients aged 15 years or older, admitted to Thammasat University Hospital and Bangkok Hospital Medical Center between January 1, 2009 and November 30, 2014. Results: Thirty patients were found. Demographic characteristics were collected and...
Source: Journal of Clinical Neuromuscular Disease - November 21, 2017 Category: Neurology Tags: Original Article Source Type: research

Pyridostigmine-Induced Bradycardia in Patient With MuSK-Ab–Positive Myasthenia Gravis and Alopecia Universalis
No abstract available (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - August 24, 2017 Category: Neurology Tags: Letter to the Editor Source Type: research

Triple Furrowed Atrophic Tongue of Myasthenia Gravis
Summary: The authors present a case and image of a patient with refractory tongue weakness and characteristic triple furrowed pattern of atrophy due to autoimmune myasthenia gravis. (Source: Journal of Clinical Neuromuscular Disease)
Source: Journal of Clinical Neuromuscular Disease - August 24, 2017 Category: Neurology Tags: Image Source Type: research

Pyridoxine Toxicity Small Fiber Neuropathy With Dysautonomia: A Case Report
We present the case of a 41-year-old woman with 2 years of progressive burning pain, numbness, tingling, and weakness in a stocking-glove distribution who was found to have severe pyridoxine toxicity. Concurrent presence of large and small fiber nerve dysfunction was noted in the form of abnormal electromyography/nerve conduction study demonstrating a chronic sensory polyneuropathy and autonomic testing demonstrating abnormal responses to quantitative sweat testing and cardiovagal function testing. This case highlights the need for consideration of small fiber nerve damage by obtaining autonomic testing in cases of pyridox...
Source: Journal of Clinical Neuromuscular Disease - August 24, 2017 Category: Neurology Tags: Short Report Source Type: research

Bilateral Ptosis due to Sympathetic Dysfunction as a Feature of Guillain-Barre Syndrome
Abstract: This case–control study demonstrates that bilateral ptosis due to ocular sympathetic dysfunction is a characteristic feature of Guillain–Barre syndrome (GBS) and apraclonidine can be helpful in unmasking this clinical feature. Five patients with GBS and 9 healthy controls were assessed for ocular sympathetic dysfunction through application of topical apraclonidine to 1 eye. Changes resulting from reversal of ptosis or miosis due to apraclonidine were compared with the eye on the other side with no apraclonidine using photographs. Ocular sympathetic dysfunction in the form of mild bilateral ptosis was found in...
Source: Journal of Clinical Neuromuscular Disease - August 24, 2017 Category: Neurology Tags: Short Report Source Type: research