DOI: 10.36347/sjmcr.2017.v05i06.001

Pages: 356-358

Congenital myasthenia gravis, an autosomal recessive disorder, affecting neuromuscular transmission is a rare condition presenting as generalized hypotonia, weak cry and ptosis in neonatal period. We are reporting a case of congenital myasthenia gravis in a neonate who came to us on first day of life in respiratory distress and had generalized hypotonia and bilateral ptosis. After ruling out other possible causes of hypotonia, neostigmine test was performed with suspicion of congenital myasthenia gravis which proved out to be positive.