The Iced Drink Test - A Bedside Test for Diagnosis of Bulbar Myasthenia

Sawal, Nishit

doi:10.4172/2329-6895.1000333

Cited by 2 publications

(3 citation statements)

References 19 publications

(23 reference statements)

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“…About 50 to 75% of myasthenia gravis patients present with ocular muscle weakness in the form of double vision and drooping of eyelids. [7] However, about 20.73% of MG patients may present with isolated bulbar features. Likewise about 23.17% patients may present with both bulbar and ocular symptoms as their initial manifestation.…”

Section: Discussionmentioning

confidence: 99%

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Anti ACh Receptor Ab Positive late-onset Bulbar Myasthenia Gravis – Predominantly presented as Laryngeal Myasthenia

Gunasekaran¹,

Sivakumar²,

Thiruvarutchelvan³

2018

J. Med. Res.

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Though the report of late onset myasthenia gravis is seen frequently in literature, isolated bulbar myasthenia in elderly age group is rarely found. Moreover, dysphonia as an initial manifestation of bulbar myasthenia has not been emphasized in late-onset MG. Here we report an elderly man who presented with bulbar symptoms in whom diagnosis was made with clinical clues as well as serological test like anti acetylcholine receptor (AChR) antibody. A high index of suspicion is required to exclude other common causes of acute bulbar weakness like stroke, demyelinating neurological diseases, toxicity, infection and other causes. This case illustrates one of the uncommon presentations of late-onset MG.

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Section: Discussionmentioning

confidence: 99%

“…Likewise about 23.17% patients may present with both bulbar and ocular symptoms as their initial manifestation. [7] In patients with bulbar myasthenia, palatal weakness causes nasal twang in voice and laryngeal weakness produces dysphonia. Pharyngeal, tongue and lower facial muscle weakness result in dysphagia and dysarthria.…”

Section: Discussionmentioning

confidence: 99%

Anti ACh Receptor Ab Positive late-onset Bulbar Myasthenia Gravis – Predominantly presented as Laryngeal Myasthenia

Gunasekaran¹,

Sivakumar²,

Thiruvarutchelvan³

2018

J. Med. Res.

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“…Данный тест нашел свое применение, в основном, в диагностике глазной формы миастении, когда после наложения пакета со льдом на опустившееся веко, через 2 мин птоз регресси рует либо значительно уменьшается [18,19]. У пациентов с бульбарными симптомами также можно использовать пробу с ледяным напитком (Iced Drink Test) [20].…”

Section: результаты исследований выполненных на дого спитальном этапеunclassified

Electrodiagnostic features of myasthenia gravis in patient with predominantly bulbar symptoms. Case report

Seliverstova

Синкин

Войтенков³

2023

Medicinskij alfavit

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Myasthenia gravis is an autoimmune disease, the clinical manifestations of which are in the form of weakness and pathological muscle fatigue. We present the clinical case of a patient with predominantly lingual muscle involvement. The patient was diagnosed with a generalized 2A–2B form of myasthenia gravis. Dysarthria and weakness of the masticatory muscles were observed at the onset of the disease. The diagnosis was established 1.5 months after the appearance of the first complaints. Diagnosis at the outpatient stage was hampered by the epidemiological history and the short duration of symptoms that occurred only after eating. All of the above determines the importance of clinician`s alertness about the possibility of this disease manifesting itself in such a rather specific and rare group of symptoms.

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The Iced Drink Test - A Bedside Test for Diagnosis of Bulbar Myasthenia

Cited by 2 publications

References 19 publications

Anti ACh Receptor Ab Positive late-onset Bulbar Myasthenia Gravis – Predominantly presented as Laryngeal Myasthenia

Anti ACh Receptor Ab Positive late-onset Bulbar Myasthenia Gravis – Predominantly presented as Laryngeal Myasthenia

Electrodiagnostic features of myasthenia gravis in patient with predominantly bulbar symptoms. Case report

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