{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:56:28Z","timestamp":1774054588465,"version":"3.50.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,27]]},"DOI":"10.7759\/cureus.46082","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T18:44:30Z","timestamp":1695840270000},"source":"Crossref","is-referenced-by-count":2,"title":["Myasthenia Gravis Presenting as Bulbar Palsy"],"prefix":"10.7759","author":[{"given":"Dhruv","family":"Gosain","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tapas","family":"Das","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2008.02242.x","article-title":"Paraneoplastic myasthenia gravis: immunological and clinical aspects","volume":"15","author":"Skeie GO","year":"2008","unstructured":"Skeie GO, Romi F. Paraneoplastic myasthenia gravis: immunological and clinical aspects. Eur J Neurol. 2008, 15:1029-33. 10.1111\/j.1468-1331.2008.02242.x","journal-title":"Eur J Neurol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20950","article-title":"Lifetime course of myasthenia gravis","volume":"37","author":"Grob D","year":"2008","unstructured":"Grob D, Brunner N, Namba T, Pagala M. Lifetime course of myasthenia gravis. Muscle Nerve. 2008, 37:141-9. 10.1002\/mus.20950","journal-title":"Muscle Nerve"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s004150050059","article-title":"Myasthenia gravis: diagnosis and follow-up of 100 consecutive patients","volume":"244","author":"Beekman R","year":"1997","unstructured":"Beekman R, Kuks JB, Oosterhuis HJ. Myasthenia gravis: diagnosis and follow-up of 100 consecutive patients. J Neurol. 1997, 244:112-8. 10.1007\/s004150050059","journal-title":"J Neurol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-002-0858-2","article-title":"Myasthenia mimicking vertebrobasilar stroke","volume":"249","author":"Libman R","year":"2002","unstructured":"Libman R, Benson R, Einberg K. Myasthenia mimicking vertebrobasilar stroke. J Neurol. 2002, 249:1512-4. 10.1007\/s00415-002-0858-2","journal-title":"J Neurol"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2007.04.045","article-title":"Myasthenic crisis: guidelines for prevention and treatment","volume":"261","author":"Jani-Acsadi A","year":"2007","unstructured":"Jani-Acsadi A, Lisak RP. Myasthenic crisis: guidelines for prevention and treatment. J Neurol Sci. 2007, 261:127-33. 10.1016\/j.jns.2007.04.045","journal-title":"J Neurol Sci"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/123.4.665","article-title":"The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK","volume":"123 ( Pt 4)","author":"MacDonald BK","year":"2000","unstructured":"MacDonald BK, Cockerell OC, Sander JW, Shorvon SD. The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK. Brain. 2000, 123 ( Pt 4):665-76. 10.1093\/brain\/123.4.665","journal-title":"Brain"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1203679","article-title":"The growing burden of generalized myasthenia gravis: a population-based retrospective cohort study in Taiwan","volume":"14","author":"Herr KJ","year":"2023","unstructured":"Herr KJ, Shen SP, Liu Y, Yang CC, Tang CH. The growing burden of generalized myasthenia gravis: a population-based retrospective cohort study in Taiwan. Front Neurol. 2023, 14:1203679. 10.3389\/fneur.2023.1203679","journal-title":"Front Neurol"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1126\/science.180.4088.871","article-title":"Autoimmune response to acetylcholine receptor","volume":"180","author":"Patrick J","year":"1973","unstructured":"Patrick J, Lindstrom J. Autoimmune response to acetylcholine receptor. Science. 1973, 180:871-2. 10.1126\/science.180.4088.871","journal-title":"Science"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/ana.20061","article-title":"Detection and characterization of MuSK antibodies in seronegative myasthenia gravis","volume":"55","author":"McConville J","year":"2004","unstructured":"McConville J, Farrugia ME, Beeson D, Kishore U, Metcalfe R, Newsom-Davis J, Vincent A. Detection and characterization of MuSK antibodies in seronegative myasthenia gravis. Ann Neurol. 2004, 55:580-4. 10.1002\/ana.20061","journal-title":"Ann Neurol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-011-6194-7","article-title":"Anti-LRP4 autoantibodies in AChR- and MuSK-antibody-negative myasthenia gravis","volume":"259","author":"Pevzner A","year":"2012","unstructured":"Pevzner A, Schoser B, Peters K, et al.. Anti-LRP4 autoantibodies in AChR- and MuSK-antibody-negative myasthenia gravis. J Neurol. 2012, 259:427-35. 10.1007\/s00415-011-6194-7","journal-title":"J Neurol"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0091816","article-title":"Autoantibodies to agrin in myasthenia gravis patients","volume":"9","author":"Zhang B","year":"2014","unstructured":"Zhang B, Shen C, Bealmear B, et al.. Autoantibodies to agrin in myasthenia gravis patients. PLoS One. 2014, 9:e91816. 10.1371\/journal.pone.0091816","journal-title":"PLoS One"},{"key":"ref12","unstructured":"Myasthenia Gravis Foundation of America. Accessed. August 19, 2023: https:\/\/myasthenia.org\/ ."},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-4975(00)01595-2","article-title":"Myasthenia gravis: recommendations for clinical research standards","volume":"70(1)","author":"Jaretzki A","year":"2000","unstructured":"Jaretzki A, Barohn RJ, Ernstoff RM, et al.. Myasthenia gravis: recommendations for clinical research standards. Ann Thorac Surg. 2000, 70(1):327-34. 10.1016\/s0003-4975(00)01595-2","journal-title":"Ann Thorac Surg"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2010.03019.x","article-title":"Guidelines for treatment of autoimmune neuromuscular transmission disorders","volume":"17","author":"Skeie GO","year":"2010","unstructured":"Skeie GO, Apostolski S, Evoli A, et al.. Guidelines for treatment of autoimmune neuromuscular transmission disorders. Eur J Neurol. 2010, 17:893-902. 10.1111\/j.1468-1331.2010.03019.x","journal-title":"Eur J Neurol"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002828.pub2","article-title":"Corticosteroids for myasthenia gravis","volume":"2005","author":"Schneider-Gold C","year":"2005","unstructured":"Schneider-Gold C, Gajdos P, Toyka KV, Hohlfeld RR. Corticosteroids for myasthenia gravis. Cochrane Database Syst Rev. 2005, 2005:CD002828. 10.1002\/14651858.CD002828.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/ene.12359","article-title":"EFNS\/ENS Guidelines for the treatment of ocular myasthenia","volume":"21","author":"Kerty E","year":"2014","unstructured":"Kerty E, Elsais A, Argov Z, Evoli A, Gilhus NE. EFNS\/ENS Guidelines for the treatment of ocular myasthenia. Eur J Neurol. 2014, 21:687-93. 10.1111\/ene.12359","journal-title":"Eur J Neurol"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002790","article-title":"International consensus guidance for management of myasthenia gravis: Executive summary","volume":"87","author":"Sanders DB","year":"2016","unstructured":"Sanders DB, Wolfe GI, Benatar M, et al.. International consensus guidance for management of myasthenia gravis: Executive summary. Neurology. 2016, 87:419-25. 10.1212\/WNL.0000000000002790","journal-title":"Neurology"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-40757","article-title":"Warning signs of imminent respiratory failure in neurological patients","volume":"23","author":"Rabinstein AA","year":"2003","unstructured":"Rabinstein AA, Wijdicks EF. Warning signs of imminent respiratory failure in neurological patients. Semin Neurol. 2003, 23:97-104. 10.1055\/s-2003-40757","journal-title":"Semin Neurol"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.4103\/2277-9175.151874","article-title":"Life-threatening misdiagnosis of bulbar onset myasthenia gravis as a motor neuron disease: how much can one rely on exaggerated deep tendon reflexes","volume":"4","author":"Basiri K","year":"2015","unstructured":"Basiri K, Ansari B, Okhovat AA. Life-threatening misdiagnosis of bulbar onset myasthenia gravis as a motor neuron disease: how much can one rely on exaggerated deep tendon reflexes. Adv Biomed Res. 2015, 4:58. 10.4103\/2277-9175.151874","journal-title":"Adv Biomed Res"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000008903","article-title":"Clinical and therapeutic features of myasthenia gravis in adults based on age at onset","volume":"94","author":"Cort\u00e9s-Vicente E","year":"2020","unstructured":"Cort\u00e9s-Vicente E, \u00c1lvarez-Velasco R, Segovia S, et al.. Clinical and therapeutic features of myasthenia gravis in adults based on age at onset. Neurology. 2020, 94:e1171-80. 10.1212\/WNL.0000000000008903","journal-title":"Neurology"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/186711-myasthenia-gravis-presenting-as-bulbar-palsy","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T20:07:25Z","timestamp":1707509245000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/186711-myasthenia-gravis-presenting-as-bulbar-palsy"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,27]]},"references-count":20,"URL":"https:\/\/doi.org\/10.7759\/cureus.46082","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9,27]]}}}