Abstract

MYASTHENIA GRAVIS WITH INTERNAL OPTHALMOPLEGIA: A RARE CASE REPORT

N. S. Neki*, Mayank Ameta, Tarun Kumar Ralot, Kripa Shankar Jhirwal, Ankur Jain, Vinod Bokadia and Akshay Kumar Meena

ABSTRACT

Involvement of the eye muscles is frequently encountered in myasthenia gravis. In the great majority of cases there is unilateral or bilateral external opthalmoplegia which may be partial or complete. The involvement of the smooth muscles of the pupil seems to be very unusual phenomenon and its presence may even raise doubts that the ocular involvement in such cases is a result of myasthenia gravis. We describe a patient with myasthenia gravis who showed external and internal opthalmoplegia, which responded well to anticholinesterase drugs.

Keywords: Myasthenia gravis;Internal opthalmoplegia.