neurologic disorders
Disorders of Neuromuscular Transmission
Eaton Lambert syndrome
 Neurologic paraneoplastic syndromes is due to impaired acetylcholine release from presynaptic nerve terminals. Repetitive nerve testing at rapid rates (20 to 50 hertz [Hz]) or a single supramaximal stimulation before and after 10 seconds of maximal isometric exercise shows an incremental response of up to 400%. Increases of > 100% are considered diagnostic of a presynaptic disorder of neuromuscular transmission, but an increment of ≥ 60% or greater is highly suggestive. 