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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Myasthenia Gravis Long Back. No Fluctuation In Levels. History Of Having Symptoms Of Cerebral Palsy. Possibility Of Wrong Diagnosis?

Hi There I was wondering if you could answer a complex question for me . I was diagnosed with myasthenia gravis over two years ago. now lately the doctor who diagnosed me has been running test and my myasthenia levels are not going up or down. is this normal? Second part of my question if all possible can it be possible to be diagnosed with myasthenia gravis and cerebral palsy/ I have had the symptoms of cerebral palsy since birth. Thank You for your time in this matter. I currently use a wheelchair cause of falling.
Fri, 26 Jul 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

Myasthenia gravis can be diagnosed by repetitive nerve stimulation test, which shows a decremental response. In addition, acetylcholine receptor antibodies levels are elevated. In your case, which test we used to confirm the diagnosis?

Cerebral palsy does not worsen over time, so, it is not common to misdiagnose cerebral palsy as myasthenia gravis.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Diagnosed With Myasthenia Gravis Long Back. No Fluctuation In Levels. History Of Having Symptoms Of Cerebral Palsy. Possibility Of Wrong Diagnosis?

Hi, Thank you for posting your query. Myasthenia gravis can be diagnosed by repetitive nerve stimulation test, which shows a decremental response. In addition, acetylcholine receptor antibodies levels are elevated. In your case, which test we used to confirm the diagnosis? Cerebral palsy does not worsen over time, so, it is not common to misdiagnose cerebral palsy as myasthenia gravis. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist