Myasthenia Gravis (MG) is an autoimmune neuromuscular disease characterized by fluctuating weakness and rapid fatigue of skeletal muscles. It results from antibodies that block or destroy acetylcholine receptors at the neuromuscular junction, preventing nerve impulses from triggering muscle contraction. Common symptoms include weakness of the eye muscles (ptosis, diplopia), facial muscles, and limb muscles. While not curable, symptoms can be managed with treatments like acetylcholinesterase inhibitors, immunosuppressants, plasmapheresis, and thymectomy. The case study describes an elderly man initially presenting with ptosis and diplopia, later developing more severe respiratory and bulbar symptoms, and responding well