Deutsche medizinische Wochenschrift (1946) · 2024
[Fiber endoscopic evaluation of swallowing (FEES) - an important tool for diagnosing myasthenia gravis].
СтатьяКлинический случайАннотация на английскомНазвание и аннотация: Перевод в очереди
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Kowar Michael, Frackowiak Monika, Kaufhold Christiane, Jacobs Andreas H
Аннотация
HISTORY AND ADMISSION FINDINGS: A 76-year old man was admitted with a globus sensation and weight loss for further investigations to our geriatric ward. A gastroscopic evaluation executed before had been unremarkable.
INVESTIGATIONS: Physical examination was unremarkable, including a neurological examination.
TREATMENT AND COURSE: All radiological findings (computer tomography of chest, abdomen and neck) were unremarkable. In a FEES investigation we found retentions and a reduction of frequency of swallowing after a while. During the investigation the patient complained about a muscular weakness in his neck. The assumed diagnosis of a myasthenia gravis was confirmed by antibodies against acetylcholine receptors and a decrement in repetitive irritation of the orbicularis and trapezius muscle.
CONCLUSION: FEES can be a valid diagnosis tool for a pharyngeal type of a myasthenia gravis.
INVESTIGATIONS: Physical examination was unremarkable, including a neurological examination.
TREATMENT AND COURSE: All radiological findings (computer tomography of chest, abdomen and neck) were unremarkable. In a FEES investigation we found retentions and a reduction of frequency of swallowing after a while. During the investigation the patient complained about a muscular weakness in his neck. The assumed diagnosis of a myasthenia gravis was confirmed by antibodies against acetylcholine receptors and a decrement in repetitive irritation of the orbicularis and trapezius muscle.
CONCLUSION: FEES can be a valid diagnosis tool for a pharyngeal type of a myasthenia gravis.