Ptosis in myasthenia gravis: Extended fatigue and recovery bedside test
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Figure. (A) A 61-year-old woman with marked generalized myasthenia gravis, 2 days after plasma exchange treatment, with only minimal spontaneous ptosis at baseline. (B) After 10 seconds of upward gaze. (C) After 30 seconds of upward gaze. (D) Maximal voluntary lid closure for 10 seconds. (E) Almost complete recovery upon lid opening. (F) Reoccurrence of ptosis after another 10 seconds of upward gaze. Note that the patient has no heterotropia and did not report double vision at time of testing.
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