Early Responsiveness of Ocular Symptoms of Myasthenia Gravis with Plasma Exchange

Abstract

75-year-old male presente with ptosis (figure 1), fatigue, slurred speech and dysphagia to the emergency department. Low frequency repetitive stimulation of the spinal acessory nerve with recordong from trapeius showed signifivant decrement. Plama excange was started and three days after treatment there was complete resolution of ptosis (figure 2). Older men show complete responsiveness to plasma exchange including an early and near complete response tp ocular symptoms.