Mumbai doctors have successfully resolved a complex neurological case involving a 35-year-old nurse diagnosed with myasthenia gravis based on a positive antibody test and started on long-term medication. Expert reassessment and advanced neurophysiological testing overturned the diagnosis, safeguarding the patient from unnecessary immunosuppressive therapy.

The patient from Navi Mumbai presented with drooping of her left eyelid (ptosis) that had persisted for several months. With a prior diagnosis of hyperthyroidism already complicating her plans for pregnancy, she initially consulted a neuro-ophthalmologist and later a neurologist at a healthcare facility in Mumbai. A blood test for acetylcholine receptor (AChR) antibodies returned positive, leading to a diagnosis of myasthenia gravis. She was started on steroids and pyridostigmine, medications that carry significant long-term implications, especially for young women.