Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive Impairment

Muscle-specific tyrosine kinase- (MuSK-) antibodies-positive Myasthenia Gravis accounts for about one third of Seronegative Myasthenia Gravis and is clinically characterized by early onset of prominent bulbar, neck, shoulder girdle, and respiratory weakness. The response to medical therapy is genera...

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Main Authors: S. Lanfranconi, S. Corti, P. Baron, G. Conti, L. Borellini, N. Bresolin, A. Bersano
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2011/859802
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author S. Lanfranconi
S. Corti
P. Baron
G. Conti
L. Borellini
N. Bresolin
A. Bersano
author_facet S. Lanfranconi
S. Corti
P. Baron
G. Conti
L. Borellini
N. Bresolin
A. Bersano
author_sort S. Lanfranconi
collection DOAJ
description Muscle-specific tyrosine kinase- (MuSK-) antibodies-positive Myasthenia Gravis accounts for about one third of Seronegative Myasthenia Gravis and is clinically characterized by early onset of prominent bulbar, neck, shoulder girdle, and respiratory weakness. The response to medical therapy is generally poor. Here we report a case of late-onset MuSK-antibodies-positive Myasthenia Gravis presenting with signs of cognitive impairment and parkinsonism in addition to bulbar involvement and external ophthalmoplegia. The pattern of involvement of both peripheral and central nervous system dysfunction might suggest a common pathogenic mechanism, involving impaired cholinergic transmission.
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issn 2090-1852
2090-1860
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publishDate 2011-01-01
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spelling doaj-art-17b72866934d4f02b46c45fe5fa293412025-02-03T05:45:08ZengWileyNeurology Research International2090-18522090-18602011-01-01201110.1155/2011/859802859802Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive ImpairmentS. Lanfranconi0S. Corti1P. Baron2G. Conti3L. Borellini4N. Bresolin5A. Bersano6Department of Neurological Sciences, Dino Ferrari Centre, University of Milan, 20122 Milan, ItalyDepartment of Neurological Sciences, Dino Ferrari Centre, University of Milan, 20122 Milan, ItalyDepartment of Neurological Sciences, Dino Ferrari Centre, University of Milan, 20122 Milan, ItalyDepartment of Neurological Sciences, Dino Ferrari Centre, University of Milan, 20122 Milan, ItalyDepartment of Neurological Sciences, Dino Ferrari Centre, University of Milan, 20122 Milan, ItalyDepartment of Neurological Sciences, Dino Ferrari Centre, University of Milan, 20122 Milan, ItalyDepartment of Neurological Sciences, Dino Ferrari Centre, University of Milan, 20122 Milan, ItalyMuscle-specific tyrosine kinase- (MuSK-) antibodies-positive Myasthenia Gravis accounts for about one third of Seronegative Myasthenia Gravis and is clinically characterized by early onset of prominent bulbar, neck, shoulder girdle, and respiratory weakness. The response to medical therapy is generally poor. Here we report a case of late-onset MuSK-antibodies-positive Myasthenia Gravis presenting with signs of cognitive impairment and parkinsonism in addition to bulbar involvement and external ophthalmoplegia. The pattern of involvement of both peripheral and central nervous system dysfunction might suggest a common pathogenic mechanism, involving impaired cholinergic transmission.http://dx.doi.org/10.1155/2011/859802
spellingShingle S. Lanfranconi
S. Corti
P. Baron
G. Conti
L. Borellini
N. Bresolin
A. Bersano
Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive Impairment
Neurology Research International
title Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive Impairment
title_full Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive Impairment
title_fullStr Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive Impairment
title_full_unstemmed Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive Impairment
title_short Anti-MuSK-Positive Myasthenia Gravis in a Patient with Parkinsonism and Cognitive Impairment
title_sort anti musk positive myasthenia gravis in a patient with parkinsonism and cognitive impairment
url http://dx.doi.org/10.1155/2011/859802
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