We emphasize that ptosis should be studied as a complex symptom. Efforts should be made
to identify accompanying neurologic or ophthalmologic signs in clinical examination that …

Introduction Botulism is a serious condition that carries with it a high rate of morbidity and
mortality. Objective This review highlights the pearls and pitfalls of botulism, including …

Introduction Acute presentations and emergencies in neuromuscular disorders (NMDs) often
challenge clinical acumen. The objective of this review is to refine the reader's approach to …

We describe a case of wound botulism initially thought to represent Miller-Fisher variant
Guillain-Barré syndrome (MFS). Botulism classically presents with the so-called “four …

This case reviews the management of a 27-year-old pregnant female in myasthenic crisis.
She presented to the emergency department in respiratory distress refractory to standard …

Introduction Potentially life-threatening disorders may present in the emergency department
with acute tetraparesis, and their recognition is crucial for an appropriate management and …

Objectives: Review when tick paralysis should be considered on differential diagnosis.
Summarize the evaluation of a patient with suspected tick paralysis. Explain the …

Background The sudden onset of muscle weakness and a flaccid paralysis can be due to
several causes, such as polyneuropathies, myelopathies [1], myopathies or neuromuscular …

Myasthenia gravis (MG) is the most common autoimmune disorder of the neuromuscular
junction (NMJ). It is caused by autoantibodies blocking acetylcholine receptors (AChRs) or …

Background Stroke mimics are noncerebrovascular conditions that present with classical
stroke symptoms. They account for up to 30% of stroke presentations in the emergency …