Myasthenic Snarl

This is one of the oldest depiction of myasthenic patient in literature. When trying to smile there response becomes blunted to a snarl. Along with ptosis, a little open mouth and a snarl (compared to words coming out of mouth) gives a particular picture of helplessness, which is unmistakable once seen and very helpful to recognize in examination

Firstly welcome to the forums sir, finally u're here..im just hoping that everyone else also comes on board, ive put up the posters in the ward...lets c....:-)

And yes...that is a very helpful piece of info you have provided....:-)