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- W2035550736 abstract "Purpose: To report two patients with positive ice tests who had diplopia and blepharoptosis caused by something other than ocular myasthenia gravis. Case summary: A 35-year-old female presented with a one-week history of inability to adduct the left eye and left blepharoptosis. Although the ice test was positive, serum anti-acetylcholine receptor binding antibody and the repetitive nerve stimulation test were negative. Brain angiography showed an aneurysm of the left posterior communicating artery, leading to the diagnosis of left pupil-sparing oculomotor nerve palsy. A 25-year-old female presented with an 8-month history of intermittent horizontal diplopia and blepharoptosis in the right eye. The ice test was positive, however serum anti-acetylcholine receptor binding antibody and the repetitive nerve stimulation test were negative. Anti-nuclear antibody was positive (titer 1:160). Conclusions: The ice test is a useful screening test for myasthenia gravis. However, a series of differential diagnoses including blepharoptosis and ocular motility disorder should be considered because these conditions also show a positive result in the ice test. J Korean Ophthalmol Soc 2015;56(2):309-315" @default.
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- W2035550736 date "2015-01-01" @default.
- W2035550736 modified "2023-09-27" @default.
- W2035550736 title "Two Cases with Positive Ice Tests Mimicking Ocular Myasthenia Gravis" @default.
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- W2035550736 doi "https://doi.org/10.3341/jkos.2015.56.2.309" @default.
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