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Sensitivity of repetitive facial‐nerve stimulation in patients with myasthenia gravis
Author(s) -
Zinman Lorne H.,
O'Connor Paul W.,
Dadson Keith E.,
Leung Rita C. M.,
Ngo Mylan,
Bril Vera
Publication year - 2006
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.20511
Subject(s) - myasthenia gravis , repetitive nerve stimulation , medicine , facial nerve , stimulation , surgery
Abstract Repetitive stimulation of the facial nerve is commonly performed in cases of suspected myasthenia gravis (MG) because bulbar weakness is often present, but the most sensitive facial muscle is unknown. We compared the sensitivity of repetitive nerve stimulation (RNS) to the frontalis and nasalis muscles in 244 patients with suspected MG. We found no difference in sensitivity of RNS when recording from these muscles in both ocular and generalized MG. In addition, we confirmed the low sensitivity of RNS for ocular (18%) or generalized (47%) MG. The specificity of facial RNS for both muscles was 100% and, in certain circumstances, may obviate the need for further diagnostic testing. Muscle Nerve, 2006