A Case of Myasthenia Gravis Diagnosed by Repetitive Hypoglossal Nerve Stimulation Test

반복 설하신경 자극검사로 진단한 중증근무력증 1예

  • Jang, Il-Mi (Department of Neurology, Soon Chun Hyang University College of Medicine) ;
  • Lee, Kyung-Bok (Department of Neurology, Soon Chun Hyang University College of Medicine) ;
  • Roh, Hakjae (Department of Neurology, Soon Chun Hyang University College of Medicine) ;
  • Ahn, Moo-Young (Department of Neurology, Soon Chun Hyang University College of Medicine) ;
  • Yang, Kwang-Ik (Department of Neurology, Soon Chun Hyang University College of Medicine) ;
  • Sung, Ki-Bum (Department of Neurology, Soon Chun Hyang University College of Medicine)
  • 장일미 (순천향대학교 의과대학 신경과학교실) ;
  • 이경복 (순천향대학교 의과대학 신경과학교실) ;
  • 노학재 (순천향대학교 의과대학 신경과학교실) ;
  • 안무영 (순천향대학교 의과대학 신경과학교실) ;
  • 양광익 (순천향대학교 의과대학 신경과학교실) ;
  • 성기범 (순천향대학교 의과대학 신경과학교실)
  • Published : 2006.06.30

Abstract

Repetitive nerve stimulation is a simple and widely used technique to demonstrate neuromuscular transmission defect. A significant decremental response for repetitive hypoglossal nerve stimulation was obtained from the surface recordings in the tongue of a patient with dysarthria and dysphagia. Repetitive hypoglossal nerve stimulation test may be useful in diagnosis of myasthenia gravis with bulbar symptoms only. We utilized repetitive hypoglossal nerve stimulation with tongue recordings and diagnosed a case of myasthenia gravis.

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