In a thesis1 for the degree of M.D. at Cambridge on the subject of "Myasthenia Gravis," Chas. S. Myers records the undoubted and completely studied cases of this disease. His list contains 22 cases; in 12 there was partial or complete external ophthalmoplegia, in 9 diplopia, in 14 ptosis. These findings and the fact that in 13 of the 22 cases in Myers' list the paralyses of the eye muscles were of the very early symptoms that showed themselves, suggests the publication of the history of the eye symptoms of the following case.
Fortunately, our case has not been completely studied (Myers includes only cases that have come to autopsy), but it has gone far enough to emphasize the fact, which agrees with the findings of Myers and which has been pointed out before, e. g., in the recent article of Sir William Gowers,2 that the eye symptoms may