Dysphagia Caused by Myasthenia Gravis Mimicking Brainstem Stroke in an Elderly Man
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Myasthenia gravis (MG) can present with dysphagia and mimic brainstem stroke in the elderly. The authors experienced an elderly man with dysphagia who was initially suspected to have suffered a brainstem stroke and was managed accordingly. However, a diagnostic work up eventually revealed myasthenia gravis with thymoma. Achieving an accurate diagnosis of stro-ke during the acute stage is becoming more important because thrombolysis is now considered early during stroke treatment. Therefore, clinicians should be aware of conditions that mimic stroke symptoms, including myasthenia gravis, to avoid the risks of unnecessary procedures and to facilitate optimal treatment. (Korean J Stroke 2009;11:100-101)
Abstract
Myasthenia gravis (MG) can present with dysphagia and mimic brainstem stroke in the elderly. The authors experienced an elderly man with dysphagia who was initially suspected to have suffered a brainstem stroke and was managed accordingly. However, a diagnostic work up eventually revealed myasthenia gravis with thymoma. Achieving an accurate diagnosis of stro-ke during the acute stage is becoming more important because thrombolysis is now considered early during stroke treatment. Therefore, clinicians should be aware of conditions that mimic stroke symptoms, including myasthenia gravis, to avoid the risks of unnecessary procedures and to facilitate optimal treatment. (Korean J Stroke 2009;11:100-101)
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