Pathirana K D, Hidelaratchi M D P
University Medical Unit, Teaching Hospital Karapitiya, Galle, Sri Lanka.
Ceylon Med J. 2004 Dec;49(4):130-1. doi: 10.4038/cmj.v49i4.1924.
A 65-year old man on treatment for ischaemic heart disease presented with a history of pain and weakness of all four limbs and dry mouth. He had clinical and neurophysiological features of Lambert-Eaton myasthenic syndrome. His symptoms improved after withdrawal of diltiazem, although neurophysiological changes remained even after 3 months.
