Myasthenia gravis as a 'stroke mimic'--it's all in the history

Shaik, Saiffuddin and Ul-Haq, Mian A yaz and Emsley, Hedley C. A. (2014) Myasthenia gravis as a 'stroke mimic'--it's all in the history. Clinical Medicine, 14 (6). pp. 640-642. ISSN 1470-2118

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Abstract

An 85-year-old man presented to hospital as an emergency having difficulties with swallowing and speech. In the emergency department, he was assessed as having acute onset dysphagia and dysarthria in keeping with an acute stroke. Subsequently, it became apparent that although the symptoms were indeed of relatively acute onset, there was a clear description by the patient of fatigability and diurnal variation, prompting a working clinical diagnosis of myasthenia gravis. The patient followed a turbulent clinical course, and interpretation of investigation results proved not to be straightforward in the acute setting. Myasthenia gravis is an uncommon disorder but it is more common in the elderly. This case provides key learning points, particularly highlighting the value of prompt, accurate clinical assessment and the importance of adhering to the clinical diagnostic formulation.

Item Type:
Journal Article
Journal or Publication Title:
Clinical Medicine
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700
Subjects:
ID Code:
84592
Deposited By:
Deposited On:
07 Feb 2017 09:40
Refereed?:
Yes
Published?:
Published
Last Modified:
26 Aug 2020 02:48