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November 1, 2025Neuro-OncologyOpen Access

NCMP-24. Bulbar Myasthenic Syndrome in a 65 year-old Woman with Melanoma during treatment with Pembrolizumab: Case Report

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Authors

JWJulia WeinerHNHerbert NewtonALAlexander Lewis

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Overview

Case report reveals immune-related adverse events including dysphagia in a woman with melanoma, suggesting close monitoring during Pembrolizumab treatment.

Key Points

  • This report describes the case of a 65-year-old woman developing Bulbar Myasthenic Syndrome during melanoma treatment.
  • Case report of a woman with melanoma receiving Pembrolizumab.
  • Assessment of symptoms including dysphagia, dysphonia, and ophthalmoplegia.
  • MRI and EMG conducted to evaluate neurological symptoms and muscle condition.
  • Patient experienced severe weakness and visual disturbances due to Bulbar Myasthenic Syndrome.
  • Creatine kinase was mildly elevated.
  • Treatment with IV Solumedrol, PLEX, and IVIG improved her respiratory status, allowing discharge.

Cite This Study

Weiner et al. (2025) studied this question.

synapsesocial.com/papers/6925435ec0ce034ddc3580e0https://doi.org/10.1093/neuonc/noaf201.1253
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