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A unique case of myasthenia gravis mimicking Garcin’s syndrome
Author(s) -
Tadokoro Koh,
Hishikawa Nozomi,
Ikegami Ken,
Nomura Emi,
Kawahara Yuko,
Omote Yoshio,
Takemoto Mami,
Yamashita Toru,
Abe Koji
Publication year - 2020
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12431
Subject(s) - medicine , myasthenia gravis , dysarthria , edrophonium , repetitive nerve stimulation , dysphagia , weakness , dermatology , sensation , anesthesia , surgery , audiology , neuroscience , biology
Abstract Here, we report a unique case of myasthenia gravis (MG) mimicking Garcin's syndrome. A 59‐year‐old man developed right‐dominant bilateral blepharoptosis and impaired ocular movement, decreased tactile sensation and mild weakness on the right side of his face, dysarthria, dysphagia, and impaired movement of the right soft palate. Malignant neoplasm was not detected, and he was diagnosed with MG, based on a positive anti‐acetylcholine receptor‐antibody, a waning phenomenon in right repetitive nerve stimulation, and a positive edrophonium test. The present case suggests that Garcin's‐like syndrome could be a possible case of MG, although it is a rare manifestation.