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Hemisensory loss in myasthenia gravis
  1. Brandon Marshall1,
  2. Umesh Sharma2,3,
  3. Lourdes Benes-Lima2,3 and
  4. Fabian H Rossi2,3
  1. 1University of Central Florida College of Medicine, Orlando, Florida, USA
  2. 2Department of Neurology, Orlando Veterans Affairs Medical Center—Lake Nona, Orlando, Florida, USA
  3. 3Neurology, University of Central Florida College of Medicine, Orlando, Florida, USA
  1. Correspondence to Brandon Marshall; brmarshall{at}


A 73-year-old white man presents with left-sided ptosis and diplopia in the absence of ophthalmoplegia, with left hemibody paresthesia. He reports intermittent dysphagia and dizziness for 1 month and diarrhoea for 2 months. Serum and electrodiagnostic studies confirmed the diagnosis of myasthenia gravis. This case highlights the non-classic presentation of myasthenia gravis in the absence of ophthalmoplegia with a unique unexplained hemisensory deficit.

  • neuromuscular disease
  • muscle disease

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  • Contributors Manuscript development and review: BM, US, LB-L and FHR.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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