Myasthenic crisis as an initial presentation of myasthenia gravis in an 81-year-old following endoscopic myotomy for Zenker's diverticulum

Daniel Tran; Lucas Fair; Bryana Baginski; Bola Aladegbami; Steven Leeds; Marc Ward

doi:10.1080/08998280.2023.2201657

Myasthenic crisis as an initial presentation of myasthenia gravis in an 81-year-old following endoscopic myotomy for Zenker's diverticulum

Proc (Bayl Univ Med Cent). 2023 Apr 26;36(4):514-517. doi: 10.1080/08998280.2023.2201657. eCollection 2023.

Authors

Daniel Tran^{1

2}, Lucas Fair^{1

3

4}, Bryana Baginski^{1

3}, Bola Aladegbami^{1

2

3}, Steven Leeds^{1

2

3}, Marc Ward^{1

2

3}

Affiliations

¹ Division of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, Texas.
² Texas A&M College of Medicine, Dallas, Texas.
³ Center for Advanced Surgery, Baylor Scott & White Health, Dallas, Texas.
⁴ Baylor Scott & White Research Institute, Dallas, Texas.

Abstract

In this article, we present the case of a patient with previously undiagnosed myasthenia gravis who underwent an endoscopic procedure for Zenker's diverticulum. The patient was readmitted due to ongoing dysphagia and severe respiratory distress caused by myasthenic crisis. This case demonstrates that myasthenia gravis, although rare, can occur in elderly patients and present with other sequelae that may mask the underlying diagnosis.

Keywords: Myasthenia gravis; ZPOEM; Zenker’s diverticulum; myasthenic crisis.

Publication types

Case Reports