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Diagnosing Myasthenia Gravis with an Ice Pack.

Wendy W Liu, Adam Chen
New England Journal of Medicine 2016 November 11
A 68-year-old man presented with unilateral ptosis and no other symptoms. The neurologic examination revealed ptosis of the left eye after a sustained upward gaze (Panel A). The movements of the extraocular muscles were normal. Myasthenia gravis was suspected, and the ice-pack test was performed..

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