Diagnose Myasthenia Gravis

HOW TO DO IT Diagnose myasthenia gravis

© 2002 Blackwell Science Ltd INTRODUCTION This ‘How to do it’ series presents a paradox. The aim is simple – an expert advises a relative novice on the best approach to a particular problem, in this case the confi rmation of a suspected diagnosis of myasthenia gravis. However, in reality the approaches of the expert and the novice are quite different. The expert subconsciously uses their enormo...

Thymectomy in Patients with Myasthenia Gravis

A case of myasthenia gravis in a 15 years old girl is pre·sented. The disease was present for 5 years before thymectomy was performed. Indications for thymectomy, preoperative pre­paration, anesthetic and surgical management is -discussed. 

Update on Myasthenia Gravis

Congenital myasthenia gravis.

Congenital myasthenia gravis is caused by genetic mutations affecting neuromuscular transmission, characterized by muscle weakness usually starting in childhood. A two and a half years old male child presented with bilateral ptosis and hoarseness of voice. The symptoms progressed giving the clinical impression of congenital myasthenia gravis. A series of tests were done including Ice Pack Test,...

Thymectomy in Myasthenia Gravis.

In recent years, thymectomy has become a widespread procedure in the treatment of myasthenia gravis (MG). Likelihood of remission was highest in preoperative mild disease classification (Osserman classification 1, 2A). In absence of thymoma or hyperplasia, there was no relationship between age and gender in remission with thymectomy. In MG treatment, randomized trials that compare conservative ...