Frontiers in Neurology (Jul 2020)

Myasthenia Gravis Masquerading as an Idiopathic Unilateral Facial Paralysis (Bell's Palsy)—A Very Rare and Unique Clinical Find

  • Marwa Elnazeir,
  • Siddharth Narayanan,
  • Pradeepthi Badugu,
  • Abid Hussain,
  • Tamour Tareen,
  • Alexi R. Hernandez,
  • Wei Liu,
  • Adriana E. Palade,
  • Martin E. Brown

DOI
https://doi.org/10.3389/fneur.2020.00709
Journal volume & issue
Vol. 11

Abstract

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Myasthenia gravis (MG) is an uncommon autoimmune neuromuscular junction disorder manifesting as fluctuating weakness of skeletal muscles. To add to its repertoire of mimicking a wide range of neurological disorders, the present case report is, to the best of our knowledge, the very first to describe MG masquerading as an idiopathic unilateral facial paralysis (Bell's palsy, BP). Our case report is distinct, highlights a novel clinical occurrence, offers new insights of how different neurological disorders may overlap with each other, and reminds neurologists to have a very broad and thorough comprehension for effective diagnoses and treatment plans. Several other conditions that produce facial nerve palsy identical to BP have also been discussed.

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