{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:34:59Z","timestamp":1777581299293,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,8,7]],"date-time":"2019-08-07T00:00:00Z","timestamp":1565136000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report three cases of juvenile myasthenia gravis aged between 18 and 24\u2009months with ocular symptoms as their first presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We present a case series of juvenile myasthenia gravis in a tertiary centre in Malaysia. Two of the three cases consist of a pair of twins who presented with ptosis of bilateral eyes; the first twin presented 4\u2009months later than the second twin. These two cases were positive for anti-acetylcholine receptor antibodies and had generalized myasthenia gravis, whereas the other case was negative for receptor antibodies and was purely ocular myasthenia gravis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Juvenile myasthenia gravis is relatively rare in toddlers. Early diagnosis and commencement of treatment is important to slow the progression of the disease and avoiding life-threatening events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672119867605","type":"journal-article","created":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T01:26:37Z","timestamp":1565227597000},"page":"NP119-NP122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cMummy, my eyelids are heavy\u201d: A case series of juvenile myasthenia gravis"],"prefix":"10.1177","volume":"31","author":[{"given":"Logeswari","family":"Krishna","sequence":"first","affiliation":[{"name":"Department Of Ophthalmology, University Malaya Eye Research Centre, University Of Malaya, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nor Fadzillah","family":"Abdul Jalil","sequence":"additional","affiliation":[{"name":"Hospital Melaka, Melaka, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooi Wah","family":"Lott","sequence":"additional","affiliation":[{"name":"Department Of Ophthalmology, University Malaya Eye Research Centre, University Of Malaya, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sujaya","family":"Singh","sequence":"additional","affiliation":[{"name":"Department Of Ophthalmology, University Malaya Eye Research Centre, University Of Malaya, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"May May","family":"Choo","sequence":"additional","affiliation":[{"name":"Department Of Ophthalmology, University Malaya Eye Research Centre, University Of Malaya, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,8,7]]},"reference":[{"key":"bibr1-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2012.02.025"},{"key":"bibr2-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1159\/000279334"},{"key":"bibr3-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20950"},{"key":"bibr4-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2007.00629.x"},{"key":"bibr5-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1097\/CND.0b013e318253a48e"},{"key":"bibr6-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2010.05.002"},{"key":"bibr7-1120672119867605","volume-title":"Oxford handbook of ophthalmology","volume":"812","author":"Alastair KOD","year":"2018","edition":"4"},{"key":"bibr8-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.118.10.1441"},{"key":"bibr9-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2005.01.010"},{"key":"bibr10-1120672119867605","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002790"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672119867605","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120672119867605","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672119867605","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:44:47Z","timestamp":1777405487000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120672119867605"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,7]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1177\/1120672119867605"],"URL":"https:\/\/doi.org\/10.1177\/1120672119867605","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,7]]}}}