Unsuspected myasthenia gravis presenting as respiratory failure.
نویسندگان
چکیده
A patient developed respiratory failure after surgical removal of a recurrent thymoma, which necessitated removal of part of the diaphragm. The respiratory failure was due to previously undiagnosed myasthenia gravis, which had selectively affected the respiratory muscles.
منابع مشابه
A Case Report of Congenital Myasthenia Gravis Presenting With Respiratory Distress
Congenital Myasthenic Syndromes (CMS) are rare inherited disorders characterized by dysfunction of neuromuscular transmission at the neuromuscular junction. Most patients with congenital myasthenic syndromes present in the infancy. Major symptoms of affected individuals include weakness and fatigue during the first years of life. Patients may show hypotonia, facial weakness, swallowing difficul...
متن کاملMyasthenia Gravis Presenting as Isolated Respiratory Failure: A Case Report
Myasthenia gravis (MG) is often complicated by respiratory failure, known as a myasthenic crisis. However, most of the patients who develop respiratory symptoms do so during the late course of disease and have other neurological signs and symptoms. However, in some patients respiratory failure is the initial presenting symptom. We report the case of a 68-year-old woman with MG who presented wit...
متن کاملMyasthenia gravis presenting initially as acute respiratory failure.
Myasthenia gravis (MG) is an autoimmune disorder of neuromuscular transmission, characterized by fluctuating weakness in certain skeletal muscles.1 The reported prevalence of MG (5–20/100,000 individuals) has been continually increasing.2-5 The clinical courses of patients with MG are quite diverse, from complete remission to MGrelated death.6 MG crisis, defined as an exacerbation of MG requiri...
متن کاملCME Topic Myasthenia Gravis Crisis
Myasthenia gravis (MG) is an autoimmune disorder resulting from the production of antibodies against acetylcholine receptors leading to the destruction of the postsynaptic membrane at the neuromuscular junction. In the US there are about 18,000 people with MG. Myasthenia gravis crisis (MGC) is defined as any MG exacerbation necessitating mechanical ventilation. Most patients presenting with MGC...
متن کاملآمادهسازی بیماران میاستنی گراو در جراحی تیمکتومی با پیریدوستیگمین خوراکی و تزریقی؛ کارآزمایی بالینی
Background: Respiratory failure and crisis is one of major complications of thymectomy in myasthenia gravis patients. There are different medication regimes for preparing these patients for surgery and reducing post-operative side effects. The goal of this study is to compare respiratory complications of oral vs. Parenteral preoperative administration of anticholinesterase agents for thymec...
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عنوان ژورنال:
- Thorax
دوره 45 5 شماره
صفحات -
تاریخ انتشار 1990