Document Detail

Trismus as a first presenting complaint in a case of myasthenia gravis.
MedLine Citation:
PMID:  22406724     Owner:  NLM     Status:  In-Data-Review    
The initial presentation of myasthenia gravis as trismus is very rare and no previous reports have been found in the literature. A 35-year-old male presented to the outpatient unit of our department with inability to clench well and to open his mouth. Physical examination revealed that he had clinical findings consistent with the signs and symptoms of myasthenia gravis. He was immediately referred to a neurologist, who confirmed that he was in an advanced stage of myasthenia gravis with severe deficit to his respiratory muscles and he was promptly treated. He is presently on a maintenance drug therapy. To our knowledge, this is the first reported case of myasthenia gravis whose initial presentation was trismus. This case presents a rare but important diagnosis that should be added to the differential diagnosis of trismus.
Sibu S Simon; Arun Paul Challu; Rabin K Chacko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of dental research : official publication of Indian Society for Dental Research     Volume:  22     ISSN:  1998-3603     ISO Abbreviation:  Indian J Dent Res     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2012-03-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9202990     Medline TA:  Indian J Dent Res     Country:  India    
Other Details:
Languages:  eng     Pagination:  729-30     Citation Subset:  D    
Department of Dental Surgery, Christian Medical College and Hospital, Vellore 632 004, India.
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