Unilateral Ocular Myasthenia Gravis followingAcute Sinusitis-ACase Report

Opening of the article

Myasthenia is an autoimmune disease in which IgG antibodies directed against the acetylcholine receptors at the neuromuscular junction prevent normal muscle contraction and lead to muscle weakness. Myasthenic muscle weakness of acute onset can occur following identifiable stimuli. We describe a case of a 40 years old lady with sinusitis and who subsequently underwent a sinus endoscopy, and following this within days developed sudden onset isolated, unilateral, painless ptosis. She was then diagnosed as ocular myasthenia and treated with pyridostigmine to which she responded well. Correspondence: Dr R K Thukral, Sector 17B, H No. 956, Defence Colony, Behind IFFCO, Gurgaon, Haryana.