Michael Kowar, Monika Frackowiak, Christiane Kaufhold, Andreas H Jacobs
{"title":"[Fiber endoscopic evaluation of swallowing (FEES) - an important tool for diagnosing myasthenia gravis].","authors":"Michael Kowar, Monika Frackowiak, Christiane Kaufhold, Andreas H Jacobs","doi":"10.1055/a-2352-5193","DOIUrl":null,"url":null,"abstract":"<p><strong>History and admission findings: </strong> 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.</p><p><strong>Investigations: </strong> Physical examination was unremarkable, including a neurological examination.</p><p><strong>Treatment and course: </strong> 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.</p><p><strong>Conclusion: </strong> FEES can be a valid diagnosis tool for a pharyngeal type of a myasthenia gravis.</p>","PeriodicalId":93975,"journal":{"name":"Deutsche medizinische Wochenschrift (1946)","volume":"149 17","pages":"997-1001"},"PeriodicalIF":0.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Deutsche medizinische Wochenschrift (1946)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/a-2352-5193","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/15 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
