Digestive Diseases and Sciences

, Volume 50, Issue 5, pp 858–861 | Cite as

Clinical Utility of Videofluorography with Concomitant Tensilon Administration in the Diagnosis of Bulbar Myasthenia Gravis

  • Darren C. Schwartz
  • Andrew J. Waclawik
  • Sumit N. Ringwala
  • Joanne Robbins
Case Report


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.

Key Words

myasthenia gravis videofluorography bulbar Tensilon dysphagia 


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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Darren C. Schwartz
    • 1
  • Andrew J. Waclawik
    • 2
    • 3
  • Sumit N. Ringwala
    • 1
  • Joanne Robbins
    • 1
    • 2
    • 4
  1. 1.Departments of Medicine, Section of Gastroenterology & HepatologyUniversity of Wisconsin Medical SchoolUSA
  2. 2.Department of NeurologyUniversity of Wisconsin Medical SchoolUSA
  3. 3.William S. Middleton Veterans Affairs HospitalMadisonUSA
  4. 4.University of Wisconsin Medical SchoolMadisonUSA

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