Hemisensory loss in myasthenia gravis

BMJ Case Rep. 2021 Mar 17;14(3):e237405. doi: 10.1136/bcr-2020-237405.

Abstract

A 73-year-old white man presents with left-sided ptosis and diplopia in the absence of ophthalmoplegia, with left hemibody paresthesia. He reports intermittent dysphagia and dizziness for 1 month and diarrhoea for 2 months. Serum and electrodiagnostic studies confirmed the diagnosis of myasthenia gravis. This case highlights the non-classic presentation of myasthenia gravis in the absence of ophthalmoplegia with a unique unexplained hemisensory deficit.

Keywords: muscle disease; neuromuscular disease.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Blepharoptosis* / etiology
  • Deglutition Disorders* / etiology
  • Diplopia / etiology
  • Humans
  • Male
  • Myasthenia Gravis* / complications
  • Myasthenia Gravis* / diagnosis
  • Ophthalmoplegia*