Abstract

A patient presented with symptoms of limbic and brainstem encephalitis, motor and sensory neuronopathy, cerebellar dysfunction, and highly positive anti-Hu antibodies. He also harbored P/Q-type calcium channel antibodies and manifested the Lambert–Eaton myasthenic syndrome (LEMS). Small-cell lung cancer was found, and he received both antineoplastic therapy and intravenous immunoglobulin (IVIg). Remission of the malignancy was achieved. Although the anti-Hu–related manifestations improved after therapy, LEMS has persisted, leading to IVIg dependency. © 2000 John Wiley & Sons, Inc. Muscle Nerve 23: 1767–1772, 2000.

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