Article Text

Download PDFPDF
Myasthenia Gravis
  1. David Shepherd
  1. Consultant Neurologist, 12 Stones Drive, Ripponden, West Yorkshire, UK; E-mail: divyhily{at}


In the past, at Association of British Neurologists’ dinners, I accepted that I was usually the only neurologist in Highland evening dress, but to that idiosyncrasy I can now add the less pleasurable attribute of a malignant thymoma and myasthenia gravis.

Well how did it all begin? With a cough, a dry, brief, non-irritating cough, which started as far back as 1993 and as we will see disappeared after surgery. Around the same time I began to accumulate crumbs in the vestibule of my mouth, external to the teeth and inside the cheek, easier to extract digitally than with my tongue and worse on the left. Orofacial surgeons do describe some sort of rare focal facial muscular weakness; perhaps that was it, I thought! I used to dictate three medicolegal reports back-to-back and after filling a 1-hour tape, on occasion from 1996 onwards noted that I found it easier to

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Other content recommended for you