History Ms. Yau is a 40-year-old lady. She is an ex-smoker and ex-regular drinker. She has a history of impaired fasting glucose and hyperlipidemia. She has no family history of neuromuscular diseases. She presented with a 6-month history of variable, fatigable nasal speech, difficulty in swallowing, bilateral droopy eyelids, double vision and neck drop. Physical … Read more
History Mr. Lam was a 70-year-old man. He is an ex-social drinker and a non-smoker. He has a history of hyperlipidemia, mild coronary artery disease, and a transient ischemic attack in 2022 (transient left monocular visual loss). He presented with a 6-month history of gradual-onset binocular multidirectional diplopia with bilateral asymmetrical ptosis. These symptoms were … Read more
History Mrs. Cheung was a 70-year-old lady with a history of diabetes. She presented with a 3-week history of right-sided ptosis without headache. Physical examination Neurological examination was pertinent for a right partial ptosis with some variability but no definite fatiguability and equivocal ice pack test. The curtain sign was negative. Pupils were of equal … Read more