A unique case of myasthenia gravis mimicking Garcin's syndrome. Issue 6 (9th August 2020)

• Record Type: Journal Article
• Authors: Tadokoro, Koh; Hishikawa, Nozomi; Ikegami, Ken; Nomura, Emi; Kawahara, Yuko; Omote, Yoshio; Takemoto, Mami; Yamashita, Toru; Abe, Koji
• Other Names: Takeda Atsushi guestEditor.
• Is Part Of: Neurology and clinical neuroscience. Volume 8:Issue 6(2020:Nov.)
• Page Start: 399
• Page End: 402
• Publication Date: 2020-08-09
• Subjects: anti‐acetylcholine receptor‐antibody -- cranial nerve palsy -- Garcin's syndrome -- myasthenia gravis -- titin‐antibody; Neurology -- Periodicals; Neurosciences -- Periodicals; 616.8
• DOI: 10.1111/ncn3.12431
• Languages: English
• ISSNs: 2049-4173

Abstract

Abstract: Here, we report a unique case of myasthenia gravis (MG) mimicking Garcin's syndrome. A 59‐year‐old man developed right‐dominant bilateral blepharoptosis and impaired ocular movement, decreased tactile sensation and mild weakness on the right side of his face, dysarthria, dysphagia, and impaired movement of the right soft palate. Malignant neoplasm was not detected, and he was diagnosed with MG, based on a positive anti‐acetylcholine receptor‐antibody, a waning phenomenon in right repetitive nerve stimulation, and a positive edrophonium test. The present case suggests that Garcin's‐like syndrome could be a possible case of MG, although it is a rare manifestation.