Abstract

Bulbar Myasthenia Gravis in children: a case of difficult diagnosis. Rev Neuropsiquiatr [online]. 2017, vol.80, n.2, pp.144-150. ISSN 0034-8597.  http://dx.doi.org/https://doi.org/10.20453/rnp.v80i2.3094.

Myasthenia gravis (MG) is an autoimmune disorder characterized by weakness and fatigability of the skeletal muscles due to dysfunction of the neuromuscular junction. We report the case of an 11-year-old girl diagnosed with bulbar myasthenia gravis. The patient had two previous crises of myasthenia gravis erroneously diagnosed as asthma attacks. She received treatment with human immunoglobulin, corticosteroids, pyridostigmine and thymectomy. We discuss the clinical course and the risks attributable to social situations that can delay the diagnosis and its effective management.

Keywords : Children; neuromuscular junction; acetylcholine antireceptor antibodies; myasthenia gravis; thymectomy.

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