[Pubmed] Fiber endoscopic evaluation of swallowing (FEES) - an important tool for diagnosing myasthenia gravis
Posté : 15 août 2024 12:00
Dtsch Med Wochenschr. 2024 Aug;149(17):997-1001. doi: 10.1055/a-2352-5193. Epub 2024 Aug 15.
ABSTRACT
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.
PMID:39146745 | DOI:10.1055/a-2352-5193
Source: https://pubmed.ncbi.nlm.nih.gov/3914674 ... t9+e462414