{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:41:33Z","timestamp":1789591293633,"version":"build-2803163510"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n          <jats:sec>\n            <jats:title\/>\n            <jats:p>We report a case of a patient with myasthenia gravis who presented with an atypically focal distribution of severe weakness in the triceps brachii and tibialis anterior muscles. Repetitive nerve stimulation studies demonstrated the typical decrement at rest, but also demonstrated marked facilitation after brief exercise. This case adds to the clinical and electrophysiological spectrum of variations of presentation of myasthenia gravis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/cnd.0b013e3181dc7c5b","type":"journal-article","created":{"date-parts":[[2011,5,21]],"date-time":"2011-05-21T10:07:07Z","timestamp":1305972427000},"page":"219-222","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Severe, Focal Tibialis Anterior and Triceps Brachii Weakness in Myasthenia Gravis: A Case Report"],"prefix":"10.1097","volume":"12","author":[{"given":"Devon I","family":"Rubin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J","family":"Litchy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20240808","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":"R2-2-20240808","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1034\/j.1600-0404.2003.00136.x","article-title":"Distal myasthenia gravisfrequency and clinical course in a large prospective series.","volume":"108","author":"Werner","year":"2003","journal-title":"Acta Neurol Scand"},{"key":"R3-2-20240808","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1212\/WNL.42.6.1153","article-title":"Kuruoglu R. Chronic limb-girdle myasthenia gravis.","volume":"42","author":"Oh","year":"1992","journal-title":"Neurology"},{"key":"R4-2-20240808","first-page":"58","article-title":"Distribution of extremity muscle weakness in myasthenia gravis: sparing of tibialis anterior muscle.","volume":"22","author":"Ozturk","year":"2003","journal-title":"Acta Myologica"},{"key":"R5-2-20240808","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/CND.0b013e3181a347ff","article-title":"Myasthenia gravis with presynaptic electrophysiologic abnormalities.","volume":"10","author":"Callagahan","year":"2009","journal-title":"J Clin Neuromuscul Dis"},{"key":"R6-2-20240808","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/j.clinph.2004.12.013","article-title":"MG and LEMS overlap syndrome: case report with electrophysiological and immunological evidence.","volume":"116","author":"Oh","year":"2005","journal-title":"Clin Neurophysiol"},{"key":"R7-2-20240808","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.1093\/brain\/awl200","article-title":"Pre- and post-synaptic abnormalities associated with impaired neuromuscular transmission in a group of patients with limb-girdle myasthenia.","volume":"129","author":"Slater","year":"2006","journal-title":"Brain"}],"container-title":["Journal of Clinical Neuromuscular Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00131402-201106000-00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T19:12:55Z","timestamp":1723144375000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00131402-201106000-00002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.1097\/cnd.0b013e3181dc7c5b","relation":{},"ISSN":["1522-0443"],"issn-type":[{"value":"1522-0443","type":"print"}],"subject":[],"published":{"date-parts":[[2011,6]]}}}