<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2631-2581</journal-id>
<journal-title><![CDATA[Revista Ecuatoriana de Neurología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ecuat Neurol]]></abbrev-journal-title>
<issn>2631-2581</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Médica Ecuatoriana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2631-25812017000200289</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Miastenia Gravis de presentación bulbar: Reporte de Caso y Revisión de Literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Myasthenia Gravis of bulbar onset: Case report and review of literature]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arosemena-Coronel]]></surname>
<given-names><![CDATA[Marilyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Miami Jackson Memorial Hospital Servicio de Medicina Interna]]></institution>
<addr-line><![CDATA[Miami Florida]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>26</volume>
<numero>3</numero>
<fpage>289</fpage>
<lpage>291</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&amp;pid=S2631-25812017000200289&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_abstract&amp;pid=S2631-25812017000200289&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_pdf&amp;pid=S2631-25812017000200289&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La miastenia gravis es un desorden autoinmune neuromuscular en el cual el síntoma predominante es la debilidad muscular que fluctúa durante el día y afecta principalmente a los músculos oculares y bulbares. Existe una íntima relación con las alteraciones del timo, cuya extirpación permite en muchos casos un mejor control de la enfermedad y, siempre que sean resecables debe ser parte del tratamiento inicial. Presentamos un caso de una paciente con miastenia gravis y timoma en la cual el tratamiento inicial fue quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Myasthenia gravis is a neuromuscular autoimmune disorder in which the predominant symptom is muscle weakness that fluctuates during the day and mainly affects the ocular and bulbar muscles. There is an intimate relationship between thymus abnormalities, the extirpation allows in many cases a better control of the disease and as long as they are resectable it must be part of the initial treatment. We present a case of a patient with myasthenia gravis and thymoma in whom the initial treatment was surgical.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[miastenia gravis]]></kwd>
<kwd lng="es"><![CDATA[timoma]]></kwd>
<kwd lng="es"><![CDATA[debilidad muscular]]></kwd>
<kwd lng="en"><![CDATA[myasthenia gravis]]></kwd>
<kwd lng="en"><![CDATA[thymoma]]></kwd>
<kwd lng="en"><![CDATA[muscle weakness]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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