Early onset myasthenia gravis with atypical features

Agarwal, P; Chapagain, U; Deewan, KR; Rana, PVS

Publication:
Early onset myasthenia gravis with atypical features

creativeworkseries.issn	1812-2027
dc.contributor.author	Agarwal, P
dc.contributor.author	Chapagain, U
dc.contributor.author	Deewan, KR
dc.contributor.author	Rana, PVS
dc.date.accessioned	2025-07-31T07:27:53Z
dc.date.available	2025-07-31T07:27:53Z
dc.date.issued	2008
dc.description	Agarwal P1, Chapagain U 1 , Deewan KR 2 , Rana PVS 3 1 Intern, 2 Medical Officer, 3Neurologist, College of Medical Sciences, Bharatpur, Nepal
dc.description.abstract	Abstract A 14 year old boy with atypical myasthenia gravis is reported. The interesting features of the case were the onset in first decade with progressive weakness of limb muscles simulating limb girdle myopathy, presence of bilateral symmetrical non fluctuating external ophthalmoplegia with ptosis and the absence of diplopia. Differential response to choline esterase inhibitors was clinically apparent. In contrast to excellent improvement in limb weakness with choline esterase inhibitors, there was no improvement in external ophthalmoplegia or ptosis. The possibilities are discussed and literature is reviewed. Key words: Myasthenia gravis (MG), External ophthalmoplegia, Acetylcholine receptor (Ach-R), Acetylcholine receptor antibodies, (Ach-R ab), Ragged red fibers, Muscular dystrophy, Congenital myasthenia gravis, Choline esterase inhibitors, Overlap syndrome
dc.identifier.uri	https://hdl.handle.net/20.500.14572/1051
dc.language.iso	en_US
dc.publisher	Kathmandu University
dc.title	Early onset myasthenia gravis with atypical features
dc.type	Article
dspace.entity.type	Publication
local.article.type	Case Report
oaire.citation.endPage	234
oaire.citation.startPage	231
relation.isJournalIssueOfPublication	91211987-d3d6-490f-ba5f-2cd88ecc68ab
relation.isJournalIssueOfPublication.latestForDiscovery	91211987-d3d6-490f-ba5f-2cd88ecc68ab
relation.isJournalOfPublication	a782b7ff-cf89-4178-ad1c-11ed89cfe1bd