Reply to “High Abnormal Rate in the Repetitive Nerve Stimulation Test in Acute Onset Myasthenia Gravis”

The Letter to the Editor by Lee and Oh in the current issue of Clinical Neurophysiology shows that the decrement was abnormal in the majority of cases with acute onset (AO) myasthenia gravis (MG), derived from the MG database in Alabama between 1987-2014 (Lee and Oh, 2018). This is in contrast to our previous study (Liik and Punga, 2016), which demonstrated a low prevalence of decrement in AO MG patients (< 4 weeks from symptom onset).

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