{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T05:00:41Z","timestamp":1792299641741,"version":"4.4.0"},"reference-count":15,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["canadianjournalofophthalmology.ca","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Canadian Journal of Ophthalmology"],"published-print":{"date-parts":[[2017,12]]},"DOI":"10.1016\/j.jcjo.2017.04.012","type":"journal-article","created":{"date-parts":[[2017,6,28]],"date-time":"2017-06-28T19:47:56Z","timestamp":1498679276000},"page":"e213-e216","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Ophthalmoparesis and unilateral finger flexor muscle weakness in seronegative myasthenia gravis"],"prefix":"10.1016","volume":"52","author":[{"given":"David Cordeiro","family":"Sousa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Viana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00eas","family":"Leal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Parreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1tima","family":"Campos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jcjo.2017.04.012_bib1","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1056\/NEJM199406233302507","article-title":"Myasthenia gravis","volume":"330","author":"Drachman","year":"1994","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcjo.2017.04.012_bib2","doi-asserted-by":"crossref","first-page":"2122","DOI":"10.1016\/S0140-6736(00)05186-2","article-title":"Myasthenia gravis","volume":"357","author":"Vincent","year":"2001","journal-title":"Lancet"},{"key":"10.1016\/j.jcjo.2017.04.012_bib3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1055\/s-2004-829593","article-title":"The epidemiology of myasthenia gravis","volume":"24","author":"Phillips","year":"2004","journal-title":"Semin Neurol"},{"key":"10.1016\/j.jcjo.2017.04.012_bib4","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1212\/01.wnl.0000176067.32186.a3","article-title":"Increasing incidence of late-onset anti-AChR antibody-seropositive myasthenia gravis","volume":"65","author":"Somnier","year":"2005","journal-title":"Neurology"},{"key":"10.1016\/j.jcjo.2017.04.012_bib5","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S1474-4422(09)70063-8","article-title":"Autoimmune myasthenia gravis: emerging clinical and biological heterogeneity","volume":"8","author":"Meriggioli","year":"2009","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jcjo.2017.04.012_bib6","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1002\/mus.20950","article-title":"Lifetime course of myasthenia gravis","volume":"37","author":"Grob","year":"2008","journal-title":"Muscle Nerve"},{"key":"10.1016\/j.jcjo.2017.04.012_bib7","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1034\/j.1600-0404.2003.00136.x","article-title":"Distal myasthenia gravis frequency and clinical course in a large prospective series","volume":"108","author":"Werner","year":"2003","journal-title":"Acta Neurol Scand"},{"key":"10.1016\/j.jcjo.2017.04.012_bib8","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1212\/WNL.52.3.632","article-title":"Distal myasthenia gravis","volume":"52","author":"Nations","year":"1999","journal-title":"Neurology"},{"key":"10.1016\/j.jcjo.2017.04.012_bib9","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1016\/j.jhsa.2013.12.036","article-title":"Distal myasthenia gravis","volume":"39","author":"Fitzgerald","year":"2014","journal-title":"J Hand Surg Am"},{"key":"10.1016\/j.jcjo.2017.04.012_bib10","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1002\/mus.880150616","article-title":"Diagnostic sensitivity of the laboratory tests in myasthenia gravis","volume":"15","author":"Oh","year":"1992","journal-title":"Muscle Nerve"},{"key":"10.1016\/j.jcjo.2017.04.012_bib11","first-page":"43","article-title":"Single-fiber electromyography in myasthenia gravis","author":"Sanders","year":"1977","journal-title":"Electroencephalogr Clin Neurophysiol."},{"key":"10.1016\/j.jcjo.2017.04.012_bib12","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1055\/s-2004-829594","article-title":"Myasthenia gravis: diagnosis","volume":"24","author":"Meriggioli","year":"2004","journal-title":"Semin Neurol"},{"key":"10.1016\/j.jcjo.2017.04.012_bib13","first-page":"933","article-title":"Antibody to acetylcholine receptor in myasthenia gravis: prevalence, clinical correlates, and diagnostic value","volume":"51","author":"Lindstrom","year":"1998","journal-title":"Neurology"},{"key":"10.1016\/j.jcjo.2017.04.012_bib14","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/S1474-4422(15)00145-3","article-title":"Myasthenia gravis: subgroup classification and therapeutic strategies","volume":"14","author":"Gilhus","year":"2015","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jcjo.2017.04.012_bib15","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1056\/NEJMoa1602489","article-title":"Randomized trial of thymectomy in myasthenia gravis","volume":"375","author":"Wolfe","year":"2016","journal-title":"N Engl J Med"}],"container-title":["Canadian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0008418216311590?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0008418216311590?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T20:06:03Z","timestamp":1757793963000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0008418216311590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["S0008418216311590"],"URL":"https:\/\/doi.org\/10.1016\/j.jcjo.2017.04.012","relation":{},"ISSN":["0008-4182"],"issn-type":[{"value":"0008-4182","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Ophthalmoparesis and unilateral finger flexor muscle weakness in seronegative myasthenia gravis","name":"articletitle","label":"Article Title"},{"value":"Canadian Journal of Ophthalmology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcjo.2017.04.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}