E-ISSN 2636-865X
Case report
Late Onset Myasthenia Gravis Masquerading As Stroke
1 Ufuk University, Faculty of Medicine, Dept. of Neurology, Ankara, Turkey  
2 Gazi University, Faculty of Medicine, Dept. of Neurology, Ankara, Turkey  
Neurol Sci Neurophysiol 2009; 26: 242-247

Key Words: Magnetic resonance imaging; muscle weakness; myasthenia gravis; single fiber EMG; repetitive nerve stimulation test; stroke
Abstract

Myasthenia gravis is the most common disease of neuromuscular transmission; however, it may be difficult to diagnose in the elderly patient with comorbid illnesses and vague symptoms. We report two elderly cases of MG, with a critical clinical course, in whom the diagnosis was missed by neurologists. A diagnosis of stroke was made in each of them, because of presence of abnormal cranial imaging findings. In one patient, the neurophysiological tests yielded negative findings at the initial examination. Clinicians should consider the diagnosis of MG, when faced with patients with new-onset weakness, especially of the cranial musculature and not be misled by the incidental neuroradiologic abnormalities. Confirmatory neurophysiologic tests are important, but should be repeated if the initial tests prove to be negative.

 

How to cite this article:
A. LEVENTOĞLU, H. R. KURUOĞLU: Late Onset Myasthenia Gravis Masquerading As Stroke. J Neurol Sci [Turk] 2009;26:242-247

 


 

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