Bulbar Myasthenia Gravis Superimposed in a Medullary Infarction Diagnosed by a Fiberoptic Endoscopic Evaluation of Swallowing With Simultaneous Tensilon Application

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Bulbar Myasthenia Gravis Superimposed in a Medullary Infarction Diagnosed by a Fiberoptic Endoscopic Evaluation of Swallowing With Simultaneous Tensilon Application

In the elderly, myasthenia gravis (MG) can present with bulbar symptoms, which can be clinically difficult to diagnose from other neurological comorbid conditions. We describe a case of a 75-year-old man who had been previously diagnosed with dysphagia associated with medullary infarction but exhibited aggravation of the dysphagia later on due to a superimposed development of bulbar MG. After r...

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Diagnosis of Tensilon-Negative Ocular Myasthenia Gravis By Daily Selfie.

The initial symptoms of myasthenia gravis are usually ptosis and diplopia. The diagnosis is often confirmed by testing for anti-acetylcholine receptor antibodies or by observing the effects of intravenous edrophonium (Tensilon) injection. However, these standard tests may be negative in patients with isolated ocular findings. We present the case of an 83-year-old woman with negative serologic a...

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Application of simple swallowing provocation test with fiberoptic endoscopic evaluation of swallowing in a cross-sectional study

BACKGROUND This study aimed to develop a simultaneously swallowing provocation test for dysphagia patients undergoing fiberoptic endoscopic evaluation of swallowing (FEES), as well as to evaluate its efficacy. METHODS In this test, 0·4 and 2·0 mL volumes of water were dripped into the pharynx under endoscopic examination of swallowing, and determine the latency time (LT) of the swallowing ref...

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[Tensilon tonography in the diagnosis of myasthenia gravis].

The concomitant intravenous administration of Tensilon during tonography was performed on a group of 15 myasthenic patients and ten "control" subjects, including patients with oculoparesis of known cause other than myasthenia. The myasthenic group uniformly responded with increases of intraocular pressure. There was no instance of this response in nonmyasthenic subjects when challenged with Ten...

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ژورنال

عنوان ژورنال: Annals of Rehabilitation Medicine

سال: 2017

ISSN: 2234-0645,2234-0653

DOI: 10.5535/arm.2017.41.6.1082