case_images: PMC9307397_01
case_images: Bilateral partial ptosis with overaction of the frontalis muscle.
case_images: CRIM2022-4802538.001.jpg
case_images: PMC9307397_01_CRIM2022-4802538.001.jpg
case_images: fig1
case_images: She had neck muscle weakness and asymmetrical external ophthalmoplegia (Figure 1).
case_images: Decremental response of 10% seen on repetitive stimulation of the facial nerve.
case_images: CRIM2022-4802538.002.jpg
case_images: PMC9307397_01_CRIM2022-4802538.002.jpg
case_images: fig2
case_images: This was substantiated by the repetitive nerve stimulation test, wherein at 1 Hz rate stimulation, the orbicularis oculi muscles showed a decremental response consistent with the diagnosis of myasthenia gravis (Figure 2).