Perini M, Ghezzi A, Basso P F, Montanini R
Divisione di Neurologia, Ospedale di Gallarate, Italia.
Ital J Neurol Sci. 1994 Sep;15(6):307-10. doi: 10.1007/BF02339242.
A case of neuromuscular hyperactivity syndrome associated with a thymoma, high serum titres of anti-acetylcholine receptor and anti-DNA antibodies is reported. The study of peripheral nerve conduction revealed a peripheral neuropathy. Repetitive stimulation showed a decrease in the fifth M response. Myasthenic symptoms were anamnestically reported but were absent at clinical observation. The clinical picture and EMG examination improved after phenytoin administration.