Agarwal P, Chapagain U, Deewan K R, Rana P V
College of Medical Sciences , Bharatpur, Nepal.
Kathmandu Univ Med J (KUMJ). 2008 Apr-Jun;6(2):231-4.
A 14 year old boy with atypical myasthenia gravis is reported. The interesting features of the case were the onset in first decade with progressive weakness of limb muscles simulating limb girdle myopathy, presence of bilateral symmetrical non fluctuating external ophthalmoplegia with ptosis and the absence of diplopia. Differential response to choline esterase inhibitors was clinically apparent. In contrast to excellent improvement in limb weakness with choline esterase inhibitors, there was no improvement in external ophthalmoplegia or ptosis. The possibilities are discussed and literature is reviewed.
报道了一名14岁非典型重症肌无力男孩。该病例的有趣特征包括：发病于第一个十年，肢体肌肉进行性无力，类似肢带型肌病；存在双侧对称性、非波动性的伴有上睑下垂的外眼肌麻痹，且无复视；胆碱酯酶抑制剂的差异反应在临床上很明显。与胆碱酯酶抑制剂使肢体无力明显改善形成对比的是，外眼肌麻痹或上睑下垂没有改善。文中讨论了各种可能性并回顾了相关文献。
