Biography
Biography: Ghada Yousry Sayed
Abstract
A 4-year-old boy was presented to the clinic by acute onset bilateral ptosis. He was examined for mechanical causes (no abnormalities were detected in lids), definitely not congenital (acute onset is against us) and he was investigated for the systemic and local myogenic causes, nerogenic and neuromuscular junction causes (anticholinestrase antibodies negative, anti-musk antibodies negative) of ptosis and all revealed no abnormalities. The picture then converted to unilateral hypertropia which improved on its own and followed by huge exotropia. A full pediatric dose of Mestinon was given and side effects occurred, then a gradually increasing pediatric dose was started and clinical picture improved greatly.