Abstract
Myasthenia gravis (MG) classically presents with ocular, bulbar, and predominantly proximal muscle weakness. Isolated bulbar symptoms occur in less than 25% of cases and can mimic stroke (1–3). If left untreated, MG can lead to significant morbidity and mortality, including myasthenic crisis and recurrent aspiration pneumonia. We describe a case of a 68-year-old man who presented with isolated bulbar symptoms. We used a novel approach to diagnosis which included a videofluorographic swallow study with concomitant Tensilon (edrophonium) injection.
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Schwartz, D.C., Waclawik, A.J., Ringwala, S.N. et al. Clinical Utility of Videofluorography with Concomitant Tensilon Administration in the Diagnosis of Bulbar Myasthenia Gravis. Dig Dis Sci 50, 858–861 (2005). https://doi.org/10.1007/s10620-005-2653-2
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DOI: https://doi.org/10.1007/s10620-005-2653-2