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Multiple Recurrences and Spontaneous Remissions

M. Seth Hochman, MD

JAMA. 1982;247(1):62.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

OCULAR myasthenia is a wellknown, localized form of myasthenia gravis frequently limited to the extraocular muscles. It occurs in 20% to 25% of adult patients with this disorder.^1,2 A patient with ocular myasthenia in whom multiple brief recurrences were each followed by rapid spontaneous remission lasting several years is the subject of this report.

Report of a Case

A 54-year-old man noted gradual drooping of the right upper eyelid in July 1980. He noticed that when he looked up, he had vertical diplopia that disappeared when he closed either eye. One day after the onset of the ptosis, the patient had a tensilon test, with negative results. The ophthalmologist noted fasciculations of the eyelids following injection of tensilon, but no change in the moderate ptosis.

Fifteen years previously, the patient had had an episode of horizontal diplopia that also disappeared with closure of either eye. Eight years previously, he . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurology, University of Miami School of Medicine.

Footnotes
Reprint re requests to 3661 S Miami Ave, Miami, FL 33133 (D Hochman).

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