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Case Reports
. 2006 Nov 7;175(10):1203.
doi: 10.1503/cmaj.060488.

An adult patient with new-onset dysphagia

Affiliations
Case Reports

An adult patient with new-onset dysphagia

Kieran McIntyre et al. CMAJ. .
No abstract available

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Figures

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Fig. 1: Imaging results during the Tensilon test. Videofluorographs before (left) and immediately after an intravenous administration of 10 mg of edrophonium. The patient's swallowing mechanism showed a rapid and complete recovery in all aspects (right) after receiving the acetylcholinesterase inhibitor. Because edrophonium is a short-acting, the response is transient and useful only as a test.
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Fig. 2: SFEMG (single-fibre electromyography) of a normal control (left) and our patient with myasthenia gravis. Increased variability (known as “jitter”) in our patient (right) was consistent with a neurotransmission abnormality.
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References

    1. Vincent A, Palace J, Hilton-Jones D. Myasthenia gravis. Lancet 2001;357:2122-8. - PubMed
    1. Llabres M, Molina-Martinez FJ, Miralles F. Dysphagia as the sole manifestation of myasthenia gravis. J Neurol Neurosurg Psychiatry 2005;76:1297-300. - PMC - PubMed
    1. Schwartz DC, Waclawik AJ, Ringwala SN, et al. Clinical utility of videofluorography with concomitant Tensilon administration in the diagnosis of bulbar myasthenia gravis. Dig Dis Sci 2005;50:858-61. - PubMed

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