Juan Hui-Chun, Tou Isabel, Lo Shu-Chen, Wu I-Hsien
Department of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Liouying, Taiwan.
J Med Case Rep. 2010 Nov 19;4:370. doi: 10.1186/1752-1947-4-370.
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.
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.
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.
导致吞咽困难的口咽肌无力很少是重症肌无力的首发症状，但它可能是发病和死亡的重要原因。为了更好地管理这种可治疗的吞咽困难病因，应尽早诊断重症肌无力。通过视频荧光吞咽造影术对吞咽进行详细评估有助于做出准确诊断并制定个性化的适当饮食补偿技术。
我们报告了一例57岁台湾男性，以吞咽困难作为重症肌无力的首发症状，并通过视频荧光吞咽造影术评估其吞咽的病理结果以及吞咽困难补偿姿势技术的有效性。
视频荧光吞咽造影术是评估重症肌无力吞咽困难的一项有价值的技术，因为它能根据所得结果精确地制定个性化的吞咽干预措施。
