scholarly journals Oculopharyngeal muscular dystrophy as a cause of progression of weakness in antibody positive myasthenia gravis

2013 ◽  
Vol 23 (4) ◽  
pp. 316-318 ◽  
Author(s):  
Björn Oskarsson ◽  
Steven P. Ringel
Author(s):  
Aziz Shaibani

Ophthalmoplegia is usually chronic and therefore diplopia is not a feature. There is enough time for the brain to suppress one image. It is amazing how much impairment of eye movement has to occur before the patient becomes concerned or considers it as abnormal. Neglected myasthenia gravis may be confused with mitochondrial ophthalmoplegia or oculopharyngeal muscular dystrophy or even congenital myasthenic syndrome. Central cause of ophthalmoplegia should be ruled out first by performing doll’s eye movement. Detailed family history looking in particular for ptosis, ophthalmoplegia, and dysphagia is diagnostically very useful. Non neurological causes of ophthalmoplegia such as severe exophthalmus, and retroorbital pathology should be considered.


Author(s):  
Aziz Shaibani

Ophthalmoplegia is usually chronic, and therefore diplopia is not a feature. There is enough time for the brain to suppress one image. It is amazing how much of impairment of eye movement has to occur before the patient becomes concerned or considers it as abnormal. Neglected myasthenia gravis (MG) may be confused with mitochondrial ophthalmoplegia or oculopharyngeal muscular dystrophy (OPMD) or even congenital myasthenic syndrome (CMS). Central causes of ophthalmoplegia should be ruled out first by performing doll’s eye movement. A number of cases of different types of ophthalmoplegia are presented, along with clinical and laboratory methods to differentiate them.


2014 ◽  
Vol 2 (4) ◽  
pp. 109-111
Author(s):  
Mai Fujikura ◽  
Shin Hisahara ◽  
Daisuke Yamamoto ◽  
Syuuichirou Suzuki ◽  
Emiko Tsuda ◽  
...  

2001 ◽  
Vol 21 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Ralf Schober ◽  
Wolfram Kress ◽  
Friedrich Grahmann ◽  
Steffen Kellermann ◽  
Petra Baum ◽  
...  

2017 ◽  
Vol 27 ◽  
pp. S203
Author(s):  
T. Doki ◽  
S. Yamashita ◽  
F. Wei ◽  
X. Zhang ◽  
Z. Zhang ◽  
...  

1996 ◽  
Vol 6 (3) ◽  
pp. 163-166 ◽  
Author(s):  
Kum Thong Wong ◽  
David Dick ◽  
Janice R. Anderson

2016 ◽  
Vol 75 (1) ◽  
Author(s):  
Hellen Cristina Paraguassu Macedo ◽  
José Ricardo Mouta Araújo ◽  
Roberto Freitas de Castro Leão ◽  
Gabriel Ângelo Ribeiro da Silva ◽  
Caroline Galvão Leite

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