Case Files of University of Cincinnati

Episode II: Diplopia on the Orient Express

We know you all missed noon report, so we have made a CP Solver-style case report! This is a very cool case presented by Dr. Kelleher and Dr. Friedman with some great discussion by Dr. Neel, Dr. Ghoorkhanian! Take the time to listen through when you’re cooking or have some extra downtime. After each aliquot, take a pause and think about your own differential.

+ Post Information

This was not a typical LEMS presentation, how Does LEMS typically present?

  • Trouble walking
  • Eyelid drooping
  • Fatigue
  • Trouble speaking and swallowing
  • Trouble breathing
  • Bladder and bowel changes (autonomic symptoms are very common in LEMS)
  • Erectile dysfunction (autonomic symptoms are very common in LEMS)
  • Dry mouth (autonomic symptoms are very common in LEMS)
  • Tingling sensation in the hands or feet

Additional Reading

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