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[Ice pack test in the diagnosis of myasthenia gravis].
- Source :
-
Arquivos brasileiros de oftalmologia [Arq Bras Oftalmol] 2010 Mar-Apr; Vol. 73 (2), pp. 161-4. - Publication Year :
- 2010
-
Abstract
- Purpose: To demonstrate the sensitivity and the specificity of the ice test in the differential diagnosis of ptosis in myasthenia gravis.<br />Methods: Prospective trial with a control group. The patients were instructed to hold a frozen ice pack on the closed ptotic eyelid. They were divided into 2 groups, with group I consisting of patients with myasthenia gravis and group II (control) consisting of patients with congenital, non-myasthenic myogenic or aponeurotic ptosis.<br />Results: All patients in group I had increased palpebral fissure for at least 3 mm after the application of ice pack. No patient in group II showed increased palpebral fissure after the ice test.<br />Conclusion: Ice test proved to be specific for the detection of myasthenic ptosis.
- Subjects :
- Adolescent
Adult
Aged
Case-Control Studies
Diagnosis, Differential
Diagnostic Techniques, Ophthalmological
Female
Humans
Male
Middle Aged
Myasthenia Gravis complications
Prospective Studies
Sensitivity and Specificity
Young Adult
Blepharoptosis etiology
Cold Temperature
Ice
Myasthenia Gravis diagnosis
Subjects
Details
- Language :
- Portuguese
- ISSN :
- 1678-2925
- Volume :
- 73
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Arquivos brasileiros de oftalmologia
- Publication Type :
- Academic Journal
- Accession number :
- 20549046
- Full Text :
- https://doi.org/10.1590/s0004-27492010000200012