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repetitive stimulation on Musk+ MG
I would like to hear from you guys about you routine on repetitive nerve studies for patients reffered with the hypothesis of Musk+ MG with proeminent bulbar symptoms and signs.
I had a patient in particular had a lot of bulbar symptons, no ocular abnormalities, and the repetitive nerve stimulation on orbicular oculis and nasalis was normal.
Well, we always learn how important it is to study the weak muscles in MG. So I wonder if I had studied orbicular oris or mentalis I could have found decremental pattern.
Does anyone have experience in repetitive nerve stimulation on these muscles or any other suggestion?
Thank you for you time
Pedro Pereira
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