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Myasthenia gravis (MG) is clinically characterized by fatigable muscle weakness. Because dysphagia is a frequent and important symptom in patients with MG, an adequate diagnostic approach is mandatory. In this article, we describe a standardized endoscopic examination called “fatigable swallowing test” that allows for a precise grading of dysphagia in patients with MG. By reporting on a patient with mainly bulbar MG, the use of this new instrument is illustrated.
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Dziewas et al. (2006) studied this question.
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