title: Myasthenia gravis presenting as acute vocal cord paresis.
abstract: Myasthenia gravis is a condition rarely seen by otolaryngologists. We present a case of bilateral vocal cord paresis caused by previously undiagnosed myasthenia gravis. A tracheostomy was required after initial presentation and after a relapse. The airway management, neurological diagnosis and medical treatment are discussed.
authors.affiliation: Sunderland Royal Hospital, ENT, Kayll Road, Sunderland, Tyne and Wear, SR4 7TP, UK.
authors.forename: Muhammad Kamaal
authors.initials: MK
authors.lastname: Khan
authors.forename: Steven M
authors.initials: SM
authors.lastname: Powell
authors.forename: Chris
authors.initials: C
authors.lastname: Hartley
authors.forename: Peter
authors.initials: P
authors.lastname: Cleland