%0 Journal Article
%T Reversible man-in-the-barrel syndrome in myasthenia gravis
%A Pettarusp Murzban Wadia
%A Poornima A Shah
%J Archive of "Annals of Indian Academy of Neurology".
%D 2016
%R 10.4103/0972-2327.168639
%X Man-in-the-barrel syndrome (MBS) is an uncommon presentation due to bilateral, predominantly proximal muscle weakness that has not been described to be associated with myasthenia gravis. We describe a case of myasthenia gravis presenting as MBS. Additionally, he had significant wasting of the deltoids bilaterally with fibrillations on electromyography (EMG) at rest and brief duration (3-6 ms) bi/triphasic motor unit potentials (MUPs) on submaximal effort apart from a decremental response on repetitive nerve stimulation (RNS) at 2 Hz. While electrophysiology is an important tool in the diagnosis of myasthenia gravis, pathological EMG patterns do not exclude the diagnosis of myasthenia gravis
%K Electromyography (EMG)
%K man-in-the-barrel syndrome (MBS)
%K myasthenia gravis
%K reversible
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4782563/