This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (55)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

JOEL S. GLASER, MD

Arch Ophthalmol. 1966;75(3):363-366.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Ocular myasthenia gravis resembling the specific brain-stem sign of internuclear ophthalmoplegia has not been described in the literature with the exception of the unique case of Walsh.¹ This interesting motility disturbance has recently been observed in three patients. In each case the peripheral neuromuscular disorder closely mimicked a syndrome pathognomonic of a focal lesion involving the medial longitudinal fasciculus. The purpose of this report is to present the unusual ocular motility found in these three cases and to emphasize the importance of an antimyasthenic agent in this differential diagnosis.

Report of Cases

Case 1.

—A 25-year-old Negro woman was seen with asthenopic symptoms of two months' duration. No history of ptosis, diplopia, or fatigability could be elicited. On examination a mild right ptosis was noted. The pupils were normal as were other parameters of ocular function, with the exception of extraocular movements which were of great interest. The patient . . . [Full Text PDF of this Article]

Author Affiliations
Miami, Fla

From the Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine.

Footnotes
Submitted for publication July 9, 1965.

Reprint requests to 1638 NW 10th Ave, Miami, Fla 33136.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?