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Because weakness due to myasthenia lessens in cooler temperature, patients with ptosis can be tested using the ice pack test.

An eye patch is an effective first treatment although not always easy to wear.

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Photograph of a patient showing right partial ptosis (left picture), the left lid shows compensatory pseudo lid retraction because of equal innervation of the levator palpabrae superioris (): Right picture: after an edrophonium test, note the improvement in ptosis.

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There was a neurologist, I believe, from British Columbia, who was "famous" for a comment that went something like, "Mestinon is about as effective in myasthenia gravis as an aspirin is for a brain tumour!

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After waiting so long to see a neurologist for a diagnosis and ending up with even more of a delay (and no definitive answers) my GP has agreed to trial me on a low dose of Mestinon to see if there is any benefit or improvement in my condition?

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