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. 2025 Nov 8;272(12):752. doi: 10.1007/s00415-025-13480-8

Table 1.

MGII individual items with score range, grouped by theme

Patient-reported items with score range Examination items with score range
Problems with your eyesa Problems eatingb Problems speaking and breathingb Generalized symptomsb
Double vision throughout the day 0–3 Difficulty swallowing 0–4

Voice changes

through the day

0–3 Overall physical tiredness 0–3 Diplopiaa 0–3
Double vision with activities 0–3 Chewing different types of food 0–3 Voice changes with prolonged conversation 0–3 Arm weakness severity 0–3 Ptosisa 0–2

Severity of

double vision

0–3 Chewing tiredness/fatigue 0–3 Severity of voice changes 0–3 Arm weakness with prolonged use 0–3 Lower facial strengthb 0–2
Eyelid drooping throughout the day 0–3

Speech clarity

through the day

0–3 Leg weakness severity 0–3 Arm enduranceb 0–3

Eyelid drooping

with activity

0–3

Speech clarity

with prolonged conversation

0–3

Leg weakness

with prolonged use

0–3 Leg enduranceb 0–3

Severity of

eyelid drooping

0–3

Severity of

speech changes

0–3 Neck weakness 0–3 Neck enduranceb 0–3
Difficulty breathing 0–4

MGII Myasthenia Gravis Impairment Index

aThese items comprise the ocular subscore, with a score range of 0–23

bThese items comprise the generalized subscore, with a score range of 0–61