Abstract
The autoimmune disease, myasthenia gravis (MG), can mimic a variety of neurological disorders leading to a delay in diagnosis and treatment. On occasions, misdiagnosis of MG could lead to unnecessary and potentially harmful therapeutic interventions. We report on a 12 year-old boy, in whom MG was mistaken for meningitic sequelae and subsequently for critical neuropathy/myopathy resulting in considerable morbidity for nearly a decade. Subsequent correct diagnosis and optimal management resulted in significant improvement in his functional status. We discuss the importance of considering MG as one of the potential differential diagnoses among cases of recurrent respiratory pump failure, or unexplained bulbar symptoms where documentary proof of the previous diagnoses including work-up for MG is lacking. We also review the literature on MG misdiagnosis and highlight the potential pitfalls in MG diagnosis.
Publication details
- DOI
- 10.18295/2075-0528.1347
- Journal
- Sultan Qaboos University Medical Journal, 12(1), 103-108
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Al-Asmi, A., Nandhagopal, R., Gujjar, P. C., & Arunodaya (2025). Misdiagnosis of Myasthenia Gravis and Subsequent Clinical Implication: A case report and review of literature. Sultan Qaboos University Medical Journal, 12(1), 103-108. https://doi.org/10.18295/2075-0528.1347
MLA 9
Al-Asmi, Abdullah, et al. "Misdiagnosis of Myasthenia Gravis and Subsequent Clinical Implication: A case report and review of literature." Sultan Qaboos University Medical Journal, vol. 12, no. 1, 2025, pp. 103-108. https://doi.org/10.18295/2075-0528.1347.
Chicago (author–date)
Al-Asmi, Abdullah, Ramachandiran Nandhagopal, P C. Gujjar, and Arunodaya. 2025. "Misdiagnosis of Myasthenia Gravis and Subsequent Clinical Implication: A case report and review of literature." Sultan Qaboos University Medical Journal 12 (1): 103-108. https://doi.org/10.18295/2075-0528.1347.
Harvard
Al-Asmi, A., Nandhagopal, R., Gujjar, P. C. and Arunodaya (2025) 'Misdiagnosis of Myasthenia Gravis and Subsequent Clinical Implication: A case report and review of literature', Sultan Qaboos University Medical Journal, 12(1), pp. 103-108. doi:10.18295/2075-0528.1347.
Vancouver
Al-Asmi A, Nandhagopal R, Gujjar PC, Arunodaya. Misdiagnosis of Myasthenia Gravis and Subsequent Clinical Implication: A case report and review of literature. Sultan Qaboos University Medical Journal. 2025;12(1):103-108. doi:10.18295/2075-0528.1347
IEEE
A. Al-Asmi, R. Nandhagopal, P. C. Gujjar, and Arunodaya, "Misdiagnosis of Myasthenia Gravis and Subsequent Clinical Implication: A case report and review of literature," Sultan Qaboos University Medical Journal, vol. 12, no. 1, pp. 103-108, 2025, doi: 10.18295/2075-0528.1347.