Article Text

Download PDFPDF

Can myasthenia gravis be diagnosed with the ‘ice pack test’? A cautionary note
  1. Andrew J Larner,
  2. Dafydd J Thomas
  1. Department of Neurology, St Mary's Hospital, Praed Street, London W2 1NY, UK
  1. Dr AJ Larner, Walton Centre for Neurology and Neurosurgery, Lower Lane, Fazakerley, Liverpool, L9 7LJ, UK


The ice pack test may be helpful in establishing that ptosis is due to ocular myasthenia gravis, since cold improves neuromuscular transmission. However, the role of the test in determining whether diplopia is of myasthenic origin has yet to be established.

  • myasthenia gravis
  • diplopia
  • ice pack test

Statistics from


Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.