"Late Onset Myasthenia Gravis" - A Rare Presentation Masquerading as Stroke

Dr. Shravankumar, Dr. Bharath D S, Dr. Swaroop K, Dr. Shravani P, Dr. Ravishankar S N

Abstract: Myasthenia gravis (MG) is an autoimmune neuromuscular disorder characterized by fluctuating muscle weakness that worsens with activity (fatigue) and improves with rest. We report case of 63 year old male presented with left sided Hemiplegia and left sided facial palsy (umn type), during the course patient developed bilateral ptosis increased on fatigability, Icepack test, edrophonium test was positive, AchR antibody came positive, Hence the diagnosis of Late-onset Myasthenia gravis was made and patient was started on drugs. This report highlights the atypical and rare presentation of a Myasthenia with Acute infarct which emphasizes the need for a comprehensive diagnostic approach and evaluation.

Keywords: Myasthenia gravis, ptosis, Hemiplegia, AchR antibodies, edrophonium test

How to Cite?: Dr. Shravankumar, Dr. Bharath D S, Dr. Swaroop K, Dr. Shravani P, Dr. Ravishankar S N, ""Late Onset Myasthenia Gravis" - A Rare Presentation Masquerading as Stroke", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 9-11, https://www.ijsr.net/getabstract.php?paperid=MR251031185615, DOI: https://dx.doi.org/10.21275/MR251031185615