A 12-year old male presented with the right eye turned outward called exotropia and both upper eyelids drooping, which is called bilateral ptosis. This young male had been twice to the emergency room and had been examined by 2 pediatricians and one pediatric neurologist. No diagnosis had been made after a normal CT scan and a normal MRI of the brain. The patient was referred to Dr. Pollard who examined the patient and diagnosed Myasthenia Gravis and found high serum titers of antibodies to acetylcholine receptor sites. The patient was admitted to the hospital as he was having trouble with slurred speech and swallowing. Consultation with the neurology service at Scottish Rite Hospital confirmed our diagnosis and he was treated in the Intensive Care Unit with systemic steroids, Mestinon, a drug for Myasthenia Gravis and plasma phoresis. So far he has had complete remission of his symptoms. In Myasthenia Gravis there is not enough of the chemical acetylcholine to work at the neuro-muscular junction. Many muscles are affected with paralysis or paresis such as droopy eyelids (weakness of the muscle that opens the eyelids), weakness of the right medial rectus muscle and weakness of the muscles of speech and swallowing.
Success Stories
Exotropia and Bilateral Ptosis in Myasthenia Gravis Patient
Discuss On Facebook
Related Articles • More Articles
This 7-month-old patient underwent tear duct probing to open up a blocked tear duct to alleviate excessive tearing. This picture was taken in the operating room at Scottish Rite Children’s Hospital.
A one-year-old patient came to the Center because her parents were concerned that one eye looked bigger than the other eye. The exam was difficult as her corneas were cloudy.
A 12-year-old male with Keratoconus, a disease in which the cornea protrudes like a cone, was treated at the Center. His vision had decreased to 20/200 in each eye because of irregular astigmatism.