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A relapsing-remitting type of ocular myasthenia gravis without typical muscle fatiguability
  1. P Werner1,
  2. S Kiechl1,
  3. C Thaler1,
  4. J Willeit1,
  5. W Poewe1,
  6. I Baldissera2
  1. 1Department of Neurology, Innsbruck University Hospital, Innsbruck, Austria
  2. 2Department of Ophthalmology
  1. Correspondence to:
 Dr S Kiechl, Department of Neurology, Innsbruck University Hospital, Anichstraβe 35, 6020 Innsbruck, Austria;
 Stefan.Kiechl{at}uibk.ac.at

https://doi.org/10.1136/jnnp.73.2.205

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    Myasthenia gravis (MG) is an autoimmune disorder causing postsynaptic impairment of neuromuscular transmission.1–3 Ocular, bulbar, or proximal limb muscles are most frequently affected, and weakness worsens during exercise. Recently, variants of MG have been described that deviate notably from the typical clinical presentation of MG, including “MG of respiratory muscles” and a “distal type”.4

    The neurological department of the Innsbruck University Hospital serves as a single referral centre for all cases of MG in the state of Tyrol. Over the past 20 years we have been prospectively following 84 patients with MG, corresponding to a prevalence rate of 116 per million.

    Our patient series includes five men …

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    Footnotes

    • Competing interests: none declared