Sources of evidence
The diagnosis of myasthenia gravis is invariably confirmed in the hospital setting, because of the nature of the specialist neurological investigations required. Recently diagnosed people will remain under hospital care for some months or longer, while drug treatment is initiated and monitored. Medical reports may be obtained from neurologists and specialist neurological nurses.
Elderly people with myasthenia gravis may be under the care of geriatricians. Additional information may be available from occupational therapists, community nurses or social services that provide assessments and care in the home.
General practitioners can provide information about people with myasthenia gravis who are stable on medication and who visit the hospital clinic infrequently. In some cases an HCP Examination report may be helpful, if there is no up to date information regarding the disabling effects of the condition and its response to treatment.
Amended June 2008
