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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr10.2009.2371.
Published online Apr 5, 2010. doi:  10.1136/bcr.10.2009.2371
PMCID: PMC3047384
Unusual association of diseases/symptoms
Myasthenia gravis presenting as acute vocal cord paresis
Muhammad Kamaal Khan,1 Steven M Powell,1 Chris Hartley,1 and Peter Cleland2
1Sunderland Royal Hospital, ENT, Kayll Road, Sunderland, Tyne and Wear, SR4 7TP, UK
2Sunderland Royal Hospital, Neurology, Kayll Road, Sunderland, Tyne and Wear, SR4 7TP, UK
Correspondence to Muhammad Kamaal Khan, kamaalkhan/at/
Myasthenia gravis is a condition rarely seen by otolaryngologists. We present a case of bilateral vocal cord paresis caused by previously undiagnosed myasthenia gravis. A tracheostomy was required after initial presentation and after a relapse. The airway management, neurological diagnosis and medical treatment are discussed.
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