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Further investigation identified a small cell neuroendocrine carcinoma of the gallbladder, not previously associated with LEMS. Postexercise reflex facilitation is an important bedside clinical finding that helps clinicians to distinguish LEMS from its mimics.<\/jats:p>","DOI":"10.1136\/pn-2023-004032","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T23:15:20Z","timestamp":1706656520000},"page":"338-341","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Postexercise reflex facilitation in Lambert-Eaton myasthenic syndrome"],"prefix":"10.1136","volume":"24","author":[{"given":"Mervyn","family":"Poh","sequence":"first","affiliation":[{"name":"Department of Neurology, Tan Tock Seng Campus, National Neuroscience Institute, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeo Chong","family":"Ming","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Tan Tock Seng Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia Cheong","family":"Yanni","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Tan Tock Seng Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gee Jin","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Neurology, Tan Tock Seng Campus, National Neuroscience Institute, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Howe","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Pathology, Tan Tock Seng Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalpana","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Neurology, Tan Tock Seng Campus, National Neuroscience Institute, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5641-4374","authenticated-orcid":false,"given":"Umapathi","family":"Thirugnanam","sequence":"additional","affiliation":[{"name":"Department of Neurology, Tan Tock Seng Campus, National Neuroscience Institute, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"2025090410131320000_24.4.338.1","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1093\/brain\/111.3.577","article-title":"The Lambert-Eaton Myasthenic syndrome: a review of 50 cases","volume":"111 (Pt 3)","author":"O\u2019Neill","year":"1988","journal-title":"Brain"},{"key":"2025090410131320000_24.4.338.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2018.01.008"},{"key":"2025090410131320000_24.4.338.3","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1038\/90470","article-title":"Viktor hamburger 1900-2001","volume":"4","author":"Purves","year":"2001","journal-title":"Nat Neurosci"},{"key":"2025090410131320000_24.4.338.4","doi-asserted-by":"crossref","DOI":"10.1042\/NS20200095","article-title":"The life cycle of voltage-Gated Ca2+ channels in neurons: an update on the trafficking of neuronal calcium channels","volume":"5","author":"Ferron","year":"2021","journal-title":"Neuronal Signal"},{"key":"2025090410131320000_24.4.338.5","unstructured":"Preston D , Shapiro B . 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