FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 355:1740 October 19, 2006 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by O'Neill, G. N. PubMed Citation

To the Editor: In the Case Record describing a 77-year-old man with a rapidly progressive gait disorder (July 20 issue),¹ paraneoplastic syndrome might have been discussed in more depth. The fluctuating clinical course of encephalopathy and motor neuron disease is consistent with amyotrophic lateral sclerosis (ALS), but it is not pathognomonic. These neurophysiological findings are also described in patients with paraneoplastic motor neuron disease.² Tests for the Eaton–Lambert syndrome or a myasthenic syndrome were apparently not done. Stress incontinence, sensory disturbance, a dry cough (in the absence of bulbar signs), and the reported manifest weakening during continued activity — a . . . [Full Text of this Article]

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.