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Isolated bilateral triceps muscle weakness as a presenting complaint in myasthenia gravis: A review

Weakness in myasthenia gravis (MG) has a characteristic predilection for ocular, bulbar, and proximal muscles; although, in unusual and atypical manifestations like limb girdle MG, predominant distal weakness presenting as wrist drop and finger drop, isolated foot drop, and head drop do exist with a prevalence rate of 4.4% among MG patients.[1] Here, we report a case who presented clinically with isolated triceps muscle weakness, along with mild ocular manifestations at a later date. Knowing the variations existing in the presentation of the disease improves the approach towards establishing the diagnosis, decreases unnecessary investigations which are a financial burden to the patient, and also has therapeutic implications.