Anesth Analg 2001;93:1557-1559
© 2001 International Anesthesia Research Society
NEUROSURGICAL ANESTHESIA
Paraneoplastic Syndromes Associated with Lung Cancer: A Unique Case of Concomitant Subacute Cerebellar Degeneration and Lambert-Eaton Myasthenic Syndrome
Brian M. Leonovicz, MD,
Eric A. Gordon, MD PhD, and
C. Thomas Wass, MD
Department of Anesthesiology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota
Address correspondence and reprint requests to C. Thomas Wass, MD, Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905. Address e-mail to wass.thomas{at}mayo.edu
IMPLICATIONS: We report an unusual case in which a patient with paraneoplastic subacute cerebellar degeneration (a brain disorder resulting from antibody production by a tumor located outside the skull) developed Lambert-Eaton Myasthenic Syndrome (antibody-mediated skeletal muscle weakness) that was not apparent until she underwent surgery. Failure to recognize this disease process can cause life-threatening respiratory distress.
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