Evidence map›Paper›PMID 39677121›Full record

ArticleCureus2024

Unilateral Ptosis in a 72-Year-Old Male: Early Diagnosis of Myasthenia Gravis Using the Ice Pack Test.

Paulo Conceição, Renato Gonçalves, Ana Reinas

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Paulo ConceiçãoInternal Medicine, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Renato GonçalvesInternal Medicine, Unidade Local de Saúde da Cova da Beira, Porto, PRT.
Ana ReinasInternal Medicine, Centro Hospitalar Universitário de Santo António, Porto, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ptosis, or eyelid drooping, can be an early indicator of various neurological and muscular disorders, underscoring the need for accurate diagnosis to ensure proper management. Myasthenia gravis (MG), a neuromuscular disorder, may initially present with isolated ocular symptoms, often resulting in diagnostic delays. This report details the case of a 72-year-old male who presented to the emergency department with a two-week history of progressive unilateral ptosis. A neurological examination, paired with the "ice pack test" - a simple, noninvasive bedside technique - supported the diagnosis of MG. The test improves neuromuscular transmission through cold application, temporarily alleviating symptoms. Early diagnosis using accessible techniques like the ice pack test can facilitate timely intervention, enhancing patient outcomes. This case emphasizes the value of such methods in identifying MG in patients with isolated ocular manifestations.

Indexed as

bedside clinical examination skillsdiagnosisice pack testmyasthenia gravis (mg)ocular-myasthenia-gravisptosis

Identifiers

PMID39677121
PMCPMC11645178

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.