Amyotrophic lateral sclerosis patients and ocular ptosis
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作者:
Pinto, Susana
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Univ Lisbon, Fac Med, Inst Mol Med, Neuromuscular Unit, Lisbon, PortugalHosp Santa Maria, Dept Neurol, Av Prof Egas Moniz, P-1649028 Lisbon, Portugal
Pinto, Susana
[2
]
de Carvalho, Marnede
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Hosp Santa Maria, Dept Neurol, Av Prof Egas Moniz, P-1649028 Lisbon, Portugal
Univ Lisbon, Fac Med, Inst Mol Med, Neuromuscular Unit, Lisbon, PortugalHosp Santa Maria, Dept Neurol, Av Prof Egas Moniz, P-1649028 Lisbon, Portugal
de Carvalho, Marnede
[1
,2
]
机构:
[1] Hosp Santa Maria, Dept Neurol, Av Prof Egas Moniz, P-1649028 Lisbon, Portugal
[2] Univ Lisbon, Fac Med, Inst Mol Med, Neuromuscular Unit, Lisbon, Portugal
Ptosis is not a feature observed in amyotrophic lateral sclerosis (ALS). We describe two old women with bulbar-onset ALS and rapid progression, in whom ptosis and diplopia were noted. They did not improve on pyridostigmine or steroids. Antibodies against acetylcholine receptor were negative, thymoma was excluded, but neurophysiological showed marked neuromuscular transmission failure in orbicularis oculi. We discuss the association between ALS and ocular myasthenia gravis in these cases. (C) 2007 Elsevier B.V. All rights reserved.
机构:
Charing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, EnglandCharing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, England
Balaratnam, Michelle S.
Leschziner, Guy D.
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Charing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, England
Univ London Imperial Coll Sci Technol & Med, Dept Clin Neurosci, London, EnglandCharing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, England
Leschziner, Guy D.
Seemungal, Barry M.
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机构:
Charing Cross Hosp, Neurootol Unit, W London Neurosci Ctr, London, England
Univ London Imperial Coll Sci Technol & Med, Dept Clin Neurosci, London, EnglandCharing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, England
Seemungal, Barry M.
Bronstein, Adolfo M.
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机构:
Charing Cross Hosp, Neurootol Unit, W London Neurosci Ctr, London, England
Univ London Imperial Coll Sci Technol & Med, Dept Clin Neurosci, London, EnglandCharing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, England
Bronstein, Adolfo M.
Guiloff, Roberto J.
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Charing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, England
Univ London Imperial Coll Sci Technol & Med, Dept Clin Neurosci, London, EnglandCharing Cross Hosp, Neuromuscular Unit, W London Neurosci Ctr, London, England