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báo cáo khoa học: "Efficacy of postural techniques assessed by videofluoroscopy for myasthenia gravis with dysphagia as the presenting symptom: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Efficacy of postural techniques assessed by videofluoroscopy for myasthenia gravis with dysphagia as the presenting symptom: a case report | Juan et al. Journal of Medical Case Reports 2010 4 370 http www.jmedicalcasereports.eom content 4 1 370 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Efficacy of postural techniques assessed by videofluoroscopy for myasthenia gravis with dysphagia as the presenting symptom a case report Hui-Chun Juan1 Isabel Tou2 Shu-Chen Lo2 I-Hsien Wu1 Abstract Introduction Oropharyngeal weakness leading to dysphagia is rarely the presenting symptom of myasthenia gravis but it can be a significant source of morbidity and mortality. The earliest possible diagnosis of myasthenia gravis should be made for better management of this cause of treatable dysphagia. A detailed evaluation of swallowing by videofluoroscopy can assist in making an accurate diagnosis and in individualizing appropriate diet compensatory techniques. Case presentation We present the case of a 57-year-old Taiwanese man with dysphagia as the presenting symptom of myasthenia gravis and evaluate the pathological findings of swallowing and effectiveness of compensatory postural techniques for dysphagia using videofluoroscopy. Conclusions Videofluoroscopy is a valuable technique for evaluating myasthenia gravis dysphagia because it allows swallowing interventions to be precisely individualized in accordance with the results obtained. Introduction Myasthenia gravis MG is an autoimmune disorder in which autoantibodies are directed against acetylcholine receptors in the neuromuscular junctions 1 . It is characterized by painless and fatigable weakness of skeletal muscles. Although over 60 of patients with MG have ocular symptoms at presentation dysphagia related to weakness of the oropharyngeal muscles can also be a presenting symptom. Dysphagia with aspiration is a significant source of morbidity and mortality in MG 2 consequently a detailed assessment of swallowing is very important in patients with MG dysphagia. Videofluoroscopy is a useful evaluation tool for observing the oral pharyngeal and .