Ptosis linked to myasthenia: Case Report

Abstract

Ptosis is the consequence of a general or an ophthalmologic pathology, whose etiological diagnosis and treatment can be complex. Eliminating life-threatening emergencies or chronic and severe diseases remain an obsession for the neurologist or the ophthalmologist. Autoimmune myasthenia gravis is a leading to evoke, especially when ptosis is fluctuating. In this disease, ptosis can be unilateral or bilateral, painless; variable during the day, aggravated by exertion, and it is frequently associated with diplopia. Ocular signs are indicative of the disease in half of the cases. We report a case of seropositive myasthenia (presence of acetylcholine receptor antibodies) in a 35 years old patient admitted for ptosis, and monitored for unexplained disorders of chewing for about a month.