Key Take Home Messages
- Myasthenia gravis is characterized by fatigable muscle weakness.
- Patients with bulbar symptoms need close monitoring with regular vital capacity measurements.
- Do not undertake a tensilon test lightly, this is generally reserved for neurologists with a special interest in myasthenia when there is diagnostic uncertainty. It can cause life-threatening complications.
- Myasthenic crisis requires urgent recognition and management with high-dose steroids and intravenous immunoglobulin or plasma exchange.