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We report the case of an unusual presentation of myasthenia gravis with tongue atrophy and fasciculation. Myasthenia gravis is an autoimmune condition associated with weakness and fatigability of voluntary muscles. In >50%, the initial symptoms and signs are related to extraocular muscle weakness, such as diplopia or ptosis [Tsung K, Seggev JS. An unusual cause of dysphagia. West J Med 1995; 163: 159-60]. Rarely, it is known to affect bulbar muscles and can lead to dysphagia and respiratory compromise.

Original publication




Journal article


Age Ageing

Publication Date





87 - 88


Aged, Atrophy, Disease Progression, Fasciculation, Humans, Male, Myasthenia Gravis, Tongue, Tongue Diseases