Telemedicine visits in myasthenia gravis: Expert guidance and the Myasthenia Gravis Core Exam (MG-CE).

Journal Article (Journal Article)

INTRODUCTION/AIMS: Telemedicine may be particularly well-suited for myasthenia gravis (MG) due to the disorder's need for specialized care, its hallmark fluctuating muscle weakness, and the potential for increased risk of virus exposure among patients with MG during the coronavirus disease 2019 (COVID-19) pandemic during in-person clinical visits. A disease-specific telemedicine physical examination to reflect myasthenic weakness does not currently exist. METHODS: This paper outlines step-by-step guidance on the fundamentals of a telemedicine assessment for MG. The Myasthenia Gravis Core Exam (MG-CE) is introduced as a MG-specific, telemedicine, physical examination, which contains eight components (ptosis, diplopia, facial strength, bulbar strength, dysarthria, single breath count, arm strength, and sit to stand) and takes approximately 10 minutes to complete. RESULTS: Pre-visit preparation, remote ascertainment of patient-reported outcome scales and visit documentation are also addressed. DISCUSSION: Additional knowledge gaps in telemedicine specific to MG care are identified for future investigation.

Full Text

Duke Authors

Cited Authors

  • Guidon, AC; Muppidi, S; Nowak, RJ; Guptill, JT; Hehir, MK; Ruzhansky, K; Burton, LB; Post, D; Cutter, G; Conwit, R; Mejia, NI; Kaminski, HJ; Howard, JF

Published Date

  • September 2021

Published In

Volume / Issue

  • 64 / 3

Start / End Page

  • 270 - 276

PubMed ID

  • 33959997

Pubmed Central ID

  • PMC9057373

Electronic International Standard Serial Number (EISSN)

  • 1097-4598

Digital Object Identifier (DOI)

  • 10.1002/mus.27260


  • eng

Conference Location

  • United States