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Single motor end‐plates in myasthenia gravis and lems at different firing rates
Author(s) -
Trontelj Jože V.,
Stǎlberg Erik
Publication year - 1991
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.880140305
Subject(s) - myasthenia gravis , microstimulation , jitter , abnormality , neuromuscular transmission , lambert eaton myasthenic syndrome , neuromuscular junction , congenital myasthenic syndrome , stimulation , blocking (statistics) , medicine , anesthesia , psychology , neuroscience , mathematics , acetylcholine receptor , receptor , psychiatry , statistics , electronic engineering , engineering
Abstract The jitter and frequency of blocking was studied at single motor end‐plates in 10 patients with myasthenia gravis (MG) and in a patient with Lambert‐Eaton myasthenic syndrome (LEMS), using single fiber EMG (SFEMG) with axonal microstimulation at rates varying from 0.5 Hz to 20 Hz. While some myasthenic motor end‐plates showed lowest degrees of transmission disturbance at the lowest rates and most pronounced abnormality at the highest rates of stimulation, over one‐half were most abnormal at intermediate rates and improved at higher rates. In 1 patient, all end‐plates behaved in this way. On the other hand, all end‐plates in the LEMS patient showed the expected improvement of the abnormal jitter and blocking on increasing the stimulation rate. It is argued that improvement of jitter and blocking at higher rates, unless dramatic, does not necessarily suggest a presynaptic abnormality.