Which specialist consultations are indicated in the treatment of Lambert-Eaton myasthenic syndrome (LEMS)?

Updated: May 23, 2019
  • Author: David E Stickler, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

In patients with chronic weakness, consultation with a neurologist may be indicated for electromyography (EMG), further workup, and initiation of pharmacotherapy. The diagnosis of LEMS may be suspected clinically but must be confirmed by electrodiagnostic testing. In addition, many of the medications and therapies that have been shown to produce clinical improvement are not appropriate for the ED. Most notably, in addition to pharmacotherapy, IVIG has been shown to have significant results. [13]

Other appropriate consultations may include an oncologist and a physical medicine specialist.


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