Ice-on-Eyes Test in the Diagnosis of Myasthenia Gravis

Authors

  • Nazmul Haque Assistant Registrar, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka
  • Rukhsana Parvin Assistant Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka
  • Naser Ahmed Assistant Registrar, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka
  • AKM Rafique Uddin Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka

DOI:

https://doi.org/10.3329/jemc.v2i2.12845

Keywords:

Ice-pack, Edrophonium, Autoimmune

Abstract

Myasthenia gravis is the most frequent autoimmune neuromuscular transmission disorder  with incidence of 2-20 patients per million. Its pathophysiology is autoimmune, with  acetylcholine receptor auto antibodies damaging the post-synaptic fold at the muscle  membrane. The diagnostic confirmation of myasthenia gravis is often challenging. Ice-oneyes  test can be used to diagnose this disease for its simplicity, safety and cost-effectiveness. Here we report a case of myasthenia gravis in Enam Medical College Hospital, Savar, Dhaka where ice-on-eyes test was done with improvement of ptosis of the patient. Aim of this case  report is to make aware our physicians to apply this simple bed side test instead of common  traditional edrophonium (tensilon test) test for confirmation of the diagnosis of ocular myasthenia gravis.

DOI: http://dx.doi.org/10.3329/jemc.v2i2.12845

J Enam Med Col 2012; 2(2): 92-93

 

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Published

2012-12-05

How to Cite

Haque, N., Parvin, R., Ahmed, N., & Uddin, A. R. (2012). Ice-on-Eyes Test in the Diagnosis of Myasthenia Gravis. Journal of Enam Medical College, 2(2), 92–93. https://doi.org/10.3329/jemc.v2i2.12845

Issue

Section

Case Reports