The Ice Pack Test is a simple bedside clinical test used to support the diagnosis of myasthenia gravis, especially in patients with ptosis. Principle Cooling improves neuromuscular transmission by: Inhibiting acetylcholinesterase Increasing availability of acetylcholine at the neuromuscular junction → Temporary improvement in muscle strength Indication Suspected ocular myasthenia gravis Mainly for ptosis (drooping eyelid) Procedure Assess and document the degree of ptosis (mm or photograph). Pla
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The Ice Pack Test is a simple bedside clinical test used to support the diagnosis of myasthenia gravis, especially in patients with ptosis. Principle Cooling improves neuromuscular transmission by: Inhibiting acetylcholinesterase Increasing availability of acetylcholine at the neuromuscular junction → Temporary improvement in muscle strength Indication Suspected ocular myasthenia gravis Mainly for ptosis (drooping eyelid) Procedure Assess and document the degree of ptosis (mm or photograph). Pla
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