Bulbar presentations of myasthenia gravis in the elderly patient.
We report on three cases of patients whose primary symptoms of myasthenia gravis were related to the upper aerodigestive tract. Symptoms had been present unrecognized in all patients for up to three years, and one patient subsequently developed a myasthenic crisis. We highlight the clinical features of myasthenia gravis to allow its prompt recognition in patients presenting to the ENT surgeon or physician.
Department of Otorhinolaryngology-Head and Neck Surgery, Kent and Canterbury Hospital, Canterbury, Kent, UK.
H R
HR
Sharp
A
A
Degrip
D B
DB
Mitchell
A
A
Heller
D000368:Aged; D001763:Blepharoptosis / Q000209:etiology; D002800:Cholinesterase Inhibitors / Q000627:therapeutic use; D003680:Deglutition Disorders / Q000209:etiology*; D004172:Diplopia / Q000209:etiology; D004401:Dysarthria / Q000209:etiology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009157:Myasthenia Gravis / Q000150:complications* / Q000188:drug therapy / Q000628:therapy; D010956:Plasmapheresis; D011239:Prednisolone / Q000627:therapeutic use; D011729:Pyridostigmine Bromide
D002800:Cholinesterase Inhibitors; D005938:Glucocorticoids; D011239:Prednisolone; D011729:Pyridostigmine Bromide