Single motor end‐plates in myasthenia gravis and LEMS at different firing rates

JV Trontelj, E Stǎlberg - Muscle & Nerve: Official Journal of the …, 1991 - Wiley Online Library
JV Trontelj, E Stǎlberg
Muscle & Nerve: Official Journal of the American Association of …, 1991Wiley Online Library
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 …
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.
Wiley Online Library