When an Ice Pack Reveals All

A 68-year-old man presents with unilateral Ptosis. Discover how a simple bedside ice pack test can point towards a crucial neuromuscular junction disorder.

Myasthenia gravis


A 68-year-old man presented with unilateral ptosis with no other symptoms. Application of an ice pack to the left eye improved his symptoms. What is the diagnosis?

What is the most likely diagnosis?

Bell’s palsy
Myasthenia gravis
Benign essential blepharospasm
Multiple sclerosis
Myotonic dystrophy

Acetylcholine Receptor, Ice Pack Test, Myasthenia gravis, Neuromuscular Junction, Ptosis

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