The ice test versus the rest test in myasthenia gravis.
Publication/Presentation Date
11-1-2000
Abstract
OBJECTIVE: To compare the ice test with the rest test in subjects with myasthenic and nonmyasthenic ptosis.
DESIGN: Randomized, noninterventional trial.
PARTICIPANTS: (1) Ten subjects with ptosis from previously undiagnosed myasthenia gravis. (2) Fifteen subjects with nonmyasthenic ptosis.
METHODS: Application of ice compared with rest.
MAIN OUTCOME MEASURES: Improvement in eyelid elevation in millimeters after the application of a surgical glove filled with ice or cotton.
RESULTS: In myasthenic subjects, the median improvement of ptosis with the rest test was 2 mm and with the ice test was 4.5 mm. The difference between the rest and ice tests is significant (P: < 0.001). There was no improvement in ptosis in nonmyasthenic subjects with either test.
CONCLUSION: In myasthenic ptosis, improvement in eyelid elevation after the ice test is in part caused by rest. The ice test significantly improves ptosis more than rest alone does.
Volume
107
Issue
11
First Page
1995
Last Page
1998
ISSN
0161-6420
Published In/Presented At
Kubis, K. C., Danesh-Meyer, H. V., Savino, P. J., & Sergott, R. C. (2000). The ice test versus the rest test in myasthenia gravis. Ophthalmology, 107(11), 1995–1998. https://doi.org/10.1016/s0161-6420(00)00458-9
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
11054320
Department(s)
Administration and Leadership
Document Type
Article