Dr. Advait Kulkarni (Neurologist) neurologist near me neurologist in bengaluru #neurologistinbengaluru #neurologistnearme Myasthenia gravis is characterized by weakness and rapid fatigue of any of the muscles under your voluntary control. It's caused by a breakdown in the normal communication between nerves and muscles. Symptoms: Symptoms usually improve with rest; muscle weakness can come and go. However, the symptoms tend to progress over time, usually reaching their worst within a few years after the onset of the disease. Although myasthenia gravis can affect any of the muscles that you control voluntarily, certain muscle groups are more commonly affected than others. Eye muscles: In more than half of people who develop myasthenia gravis, their first signs and symptoms involve eye problems, such as: • Drooping of one or both eyelids (ptosis) • Double vision (diplopia), which may be horizontal or vertical, and improves or resolves when one eye is closed Face and throat muscles: In about 15% of people with myasthenia gravis, the first symptoms involve face and throat muscles, which can: • Impair speaking • Cause difficulty swallowing • Affect chewing • Change facial expressions Neck and limb muscles: Myasthenia gravis can also cause weakness in your neck, arms and legs. Weakness in your legs can affect how you walk. Weak neck muscles make it hard to hold up your head.