How does Myasthenia gravis generally present?
- It can be hard to diagnose, symptoms fluctuate and 20% of patients only have ocular symptoms.
- Weakness is most commonly found in extraocular, bulbar or proximal limb muscles. Symptoms can include diplopia, dysphagia, slurred speech and ptosis. The hallmark is fatigable muscle weakness.
- A myasthenic crisis can be the first presentation in up to 20% of patients.