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청각과민과 눈꺼풀처짐으로 내원한 중증근육무력증

Myasthenia Gravis Presenting Hyperacusia and Ptosis

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초록

Myasthenia gravis (MG), which is the most common autoimmune neuromuscular junction disorder, is characterized by weakness of musdes and increased fatigability after repetitive use, and recovery after rest. The diagnosis is based on a detailed history, physical examination, and pharmacological, electrophysiological, and immunological testing. Stapedial reflex abnormalities are noted, so the stapedial reflex decay test (SRDT) can be attempted. There are no reports regarding the SRDT in Korea. We report a case of MG presenting hyperacusia and ptosis that was diagnosed by the SRDT. We recommend using the SRDT in the clinical diagnosis of MG.

Abstract

Myasthenia gravis (MG), which is the most common autoimmune neuromuscular junction disorder, is characterized by weakness of musdes and increased fatigability after repetitive use, and recovery after rest. The diagnosis is based on a detailed history, physical examination, and pharmacological, electrophysiological, and immunological testing. Stapedial reflex abnormalities are noted, so the stapedial reflex decay test (SRDT) can be attempted. There are no reports regarding the SRDT in Korea. We report a case of MG presenting hyperacusia and ptosis that was diagnosed by the SRDT. We recommend using the SRDT in the clinical diagnosis of MG.

참고문헌 (7)

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  2. Bischoff C, "Decay and recovery of the stapedial reflex by prolonged stimulation in the diagnosis of myasthenia gravis", J Neurol, 236, pp.343~348 (1989)
  3. Albera R, "Dynamic aspects of stapedial reflex in myasthenia gravis", Audiology, 26, pp.158~165 (1987)
  4. Toth I, "The diagnostic value of stapedius reflex and stapedius reflex exhaustion in myasthenia gravis", Electromyogr Clin Neurophysiol, 40, pp.17~20 (2000)
  5. Smith MJ, "Stapedius reflex decay test in diagnosis of myasthenia gravis(MG)", Electromyogr Clin Neurophysiol, 31, pp.317~319 (1991)
  6. Kramer LD, "A comparison of stapedial reflex fatigue with repetitive stimulation and single-fiber EMG in myasthenia gravis", Ann Neurol, 9, pp.531~536 (1982)
  7. Joo IS, "Clinical diagnosis of neuromuscular junction disorders", Korean J of Neuromuscul Dis, 1, pp.51~57 (2009)

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