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Myasthenia gravis as a 'stroke mimic' - it's all in the history.
Abstract An 85-year-old man presented to hospital as an emergency having difficulties with swallowing and speech. In the emergency department, he was assessed as having acute onset dysphagia and dysarthria in keeping with an acute stroke. Subsequently, it became apparent that although the symptoms were indeed of relatively acute onset, there was a clear description by the patient of fatigability and diurnal variation, prompting a working clinical diagnosis of myasthenia gravis. The patient followed a turbulent clinical course, and interpretation of investigation results proved not to be straightforward in the acut...
Source: Clinical Medicine - December 1, 2014 Category: Journals (General) Authors: Shaik S, Ul-Haq MA, Emsley HC Tags: Clin Med Source Type: research