[An unusual association of myasthenia gravis and Parkinsonism in a female patient with tuberculous lymphadenitis].
We report on a female patient who had a tumour below the mandibular, on the right side of the neck, aged 70 years. When she was 74 years old easy discomfort characterized by trembling of the hands while resting and moving to the target as well as a certain stiffness of the neck, appeared. Three years later, at the age of 77, she felt fatigue, ptosis, double vision, weakness of the jaws while chewing, speech and swallowing disturbances, and weakness of the legs, that led to disability. In such state of health the patient was admitted to hospital for medical examination. Hypomimia, rigor of the neck muscles, vesting tremor, and, above all, clearly marked signs of myasthenic weakness and fatigue of the extraocular, masseteric, mimic, and bulbar muscles and those of the limbs, but in a lesser degree, were found. With Tensilon test we registered a positive response, and by an electrophysiological examination we defined a myasthenic decrement under the repetitive stimulus. Biopsy of submandibular tumour and histologic analysis indicated tuberculous lymphadenitis. Most symptoms of the disease disappeared during the treatment with anticholinesterase drugs and amantadine.
Tasić
Z
Z
Stefanović
P
P
Apostoloski
S
S
D000368:Aged; D005260:Female; D006801:Humans; D009157:Myasthenia Gravis / Q000150:complications*; D009333:Neck; D010300:Parkinson Disease / Q000150:complications*; D014388:Tuberculosis, Lymph Node / Q000150:complications*
Neobicna udruzenost miastenije gravis i Parkinsonizma kod bolesnice s tuberkuloznim limfadenitisom.