Abstract:
:Repetitive nerve stimulation (RNS) is a standard diagnostic procedure in myasthenia gravis (MG). Although RNS sensitivity is highest in weak muscles, RNS is easier to perform in distal muscles that are often not affected. Twenty-five patients with MG were assessed to compare the sensitivity of RNS of the nasalis muscle to that of the hypothenar muscles. Abnormal decrement was found in hypothenar muscles in 9 patients (36%) and in the nasalis muscle in 13 patients (52%). RNS of the nasalis muscle appeared more useful to detect abnormal neuromuscular transmission in patients with oculobulbar MG (5 of 5) than hypothenar RNS (1 of 5). In patients with generalized MG, hypothenar muscles had a similar yield of abnormal RNS tests.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Niks EH,Badrising UA,Verschuuren JJ,Van Dijk JGdoi
10.1002/mus.10411subject
Has Abstractpub_date
2003-08-01 00:00:00pages
236-8issue
2eissn
0148-639Xissn
1097-4598journal_volume
28pub_type
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