Case of the Month #18 - myasthenic crisis

Published 01/02/2022

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.