Lu sur : https://medcraveonline.com/JOENTR/JOENTR-12-00458.pdf
Évaluation vestibulaire d'un patient atteint de myasthénie : rapport de cas
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Vestibular assessment of a patient with myastheniagravis: case report
Chua K, Sakumura J
Received: April 27, 2020 | Published: May 13, 2020
DOI:10.15406/joentr.2020.12.00458
Vestibular Assessment in patients with Myasthenia Gravis (MG) is challenging, as iagnostic evaluation requires good recording of eye movements.
Reports on Vestibular Function Testing (VFT) in MG patients have been scant and it is arguable that VFT
will have little clinical value in the MG population.
An 75-year-old man, with late onset acquired autoimmune MG presented with dizziness for evaluation. He completed VFT with no significant abnormalities in all tests and was elated to have vestibular ruled out as a contributing factor to his dizziness and imbalance.
However, his functional impairments were still addressed and managed regardless of the test results.
MG is a heterogenous condition that may be well-controlled with treatment. Patients with dizziness can still be diagnostically evaluated to rule in or out a vestibular involvement and should not be precluded from VFT.
Patients should also be assessed for their functional impairments and not based on symptom checklist and objective test results alone.
Hence, patients with normal VFT results can still benefit from a hybrid of vestibular rehabilitation therapy (VRT) with focus on habituation.
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