• Dtsch. Med. Wochenschr. · Aug 2024

    Case Reports

    [Fiber endoscopic evaluation of swallowing (FEES) - an important tool for diagnosing myasthenia gravis].

    • Michael Kowar, Monika Frackowiak, Christiane Kaufhold, and Andreas H Jacobs.
    • Klinik für Geriatrie mit Neurologie und Tagesklinik, Johanniter gGmbH, Johanniter-Krankenhaus Bonn.
    • Dtsch. Med. Wochenschr. 2024 Aug 1; 149 (17): 9971001997-1001.

    History And Admission Findings A 76-year old man was admitted with a globus sensation and weight loss for further investigations to our geriatric ward. A gastroscopic evaluation executed before had been unremarkable.Investigations Physical examination was unremarkable, including a neurological examination.Treatment And Course All radiological findings (computer tomography of chest, abdomen and neck) were unremarkable. In a FEES investigation we found retentions and a reduction of frequency of swallowing after a while. During the investigation the patient complained about a muscular weakness in his neck. The assumed diagnosis of a myasthenia gravis was confirmed by antibodies against acetylcholine receptors and a decrement in repetitive irritation of the orbicularis and trapezius muscle.Conclusion FEES can be a valid diagnosis tool for a pharyngeal type of a myasthenia gravis.Thieme. All rights reserved.

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