A girl in her late adolescence presented to the outpatient clinic with complaints of severely increasing depressive and anxiety symptoms over the past 2 months and a complex motor tic disorder for 2 years. Towering depression symptoms consisted of irritability, depressive mood, anhedonia, agitation, anergia, avolition, apathy, regressed self-care, memory loss, suicidal ideation, and severe psychomotor retardation. Her tic symptoms had been plural, clonic, complex, and sequentially wandering around muscles related to the eye and mouth in a chronic pattern. There is myotonia in reciting openings of the hands without tongue involvement. All of these complaints were lowering her social and academic functionality
Results
b) Juvenile Myasthenia Gravis
Myasthenia gravis is defined as a neuromuscular disorder characterized by muscle weakness and muscle fatigue. The condition may be restricted to particular muscle groups or may become generalized. Most individuals with myasthenia gravis develop weakness and drooping of the eyelids and weakness of eye muscles resulting in double vision and excessive muscle fatigue following activity
