RESUMO
Stimulated single-fiber electromyography (SSFEMG) is a valuable diagnostic tool in cases of myasthenia gravis with limited disease. From 1990 to 2008 SSFEMG in the orbicularis oculi muscle (OO) was performed in a cohort of 456 patients referred with clinical suspicion of myasthenia gravis (MG) and exclusively ocular symptoms. A diagnosis of MG was made on clinical grounds in 103 patients. In this patient cohort, the specificity of SSFEMG for myasthenia was 97%, and the sensitivity was 80%. MG patients with a normal SSFEMG had a benign clinical course. This study confirms a high specificity and sensitivity of SSFEMG when it is performed on patients suspected to have ocular MG. In such patients, a normal SSFEMG of the OO predicts a benign clinical course.
Assuntos
Estimulação Elétrica/métodos , Fibras Musculares Esqueléticas/fisiologia , Miastenia Gravis/diagnóstico , Músculos Oculomotores/fisiopatologia , Eletromiografia/métodos , Humanos , Músculos Oculomotores/patologiaRESUMO
Teaching Point: Snowball-like and icicle-like lesions in the corpus callosum suggest Susac Syndrome.