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Case Reports in Neurological Medicine
Volume 2014, Article ID 372769, 3 pages
Case Report

An Adult Patient with Ocular Myasthenia and Unusually Long Spontaneous Remission

Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, 13115 Safat, Kuwait

Received 4 February 2014; Accepted 31 March 2014; Published 13 April 2014

Academic Editor: N. Scott Litofsky

Copyright © 2014 Jasem Al-Hashel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A male patient developed ocular myasthenia gravis (MG) at the age of 33. He was anti-acetylcholine receptor antibody (anti-AChR Ab) negative. He received cholinesterase blocker for 5 months and went into a complete clinical remission that lasted untreated for 17 years. He relapsed recently with ocular symptoms only. He is now anti-AChR Ab positive and SFEMG is abnormal in a facial muscle. The patient is controlled with steroids. He had one of the longest spontaneous remissions reported in the natural history of MG, particularly unusual for an adult with the disease.