The droopy eyed toddler – A rare case of juvenile myasthenia gravis

Myasthenia Gravis is a Neuromuscular Junction disorder seen in children. It can have 3 presentations. Transient neonatal form, Immune mediated or Juvenile form and congenital myasthenia variety possibly due to genetic mutation. Amongst these variants Immune mediated form is most common type. It comprises 10% of all Myasthenia Gravis cases. Myasthenia can have myriad of clinical presentations. Our case is of a 18 months old toddler who had drooping of eyes which started insidiously 1 month back.