Local cooling in myasthenia. Improvement of neuromuscular failure

Arch Neurol. 1975 Mar;32(3):152-7. doi: 10.1001/archneur.1975.00490450032003.

Abstract

Weak myasthenic muscles were tested by nerve stimulation both at normal temperature and after local cooling that was accomplished by exposing the skin to ice bags or cold paraffin oil. Reduction of intramuscular temperature from 35 C to 28 C increased the voltage of the bellytendon electrical response, the force of the tetanus elicited by 10/sec or 20/sec nerve stimulation. The myasthenic decrement of successive muscle responses was less marked after cooling, as were "delayed rundown" and "postactivation exhaustion." All these effects were reversed on rewarming the muscle. The abnormal neuromuscular jitter in motor-unit components was also reduced by local cooling. These observations may explain why diagnostic application of repetitive stimulation may be false-negative; muscle temperature must be controlled.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Body Temperature
  • Child
  • Cryotherapy*
  • Electric Stimulation
  • Electrophysiology
  • Female
  • Humans
  • Ice
  • Infant, Newborn
  • Male
  • Middle Aged
  • Motor Neurons
  • Muscles / physiopathology
  • Myasthenia Gravis / physiopathology
  • Myasthenia Gravis / therapy*
  • Myography
  • Oils
  • Paraffin
  • Synaptic Transmission*
  • Tendons / physiopathology
  • Ulnar Nerve

Substances

  • Ice
  • Oils
  • Paraffin