A unique case of myasthenia gravis mimicking Garcin’s syndrome

Koh Tadokoro, Nozomi Hishikawa, Ken Ikegami, Emi Nomura, Yuko Kawahara, Yosio Omote, Mami Takemoto, Toru Yamashita, Koji Abe

Research output: Contribution to journalArticlepeer-review


Here, we report a unique case of myasthenia gravis (MG) mimicking Garcin's syndrome. A 59-year-old man developed right-dominant bilateral blepharoptosis and impaired ocular movement, decreased tactile sensation and mild weakness on the right side of his face, dysarthria, dysphagia, and impaired movement of the right soft palate. Malignant neoplasm was not detected, and he was diagnosed with MG, based on a positive anti-acetylcholine receptor-antibody, a waning phenomenon in right repetitive nerve stimulation, and a positive edrophonium test. The present case suggests that Garcin's-like syndrome could be a possible case of MG, although it is a rare manifestation.

Original languageEnglish
Pages (from-to)399-402
Number of pages4
JournalNeurology and Clinical Neuroscience
Issue number6
Publication statusPublished - Nov 2020


  • anti-acetylcholine receptor-antibody
  • cranial nerve palsy
  • Garcin's syndrome
  • myasthenia gravis
  • titin-antibody

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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