A 44 year old diabetic woman presented with diplopia and bilateral ptosis and mild exophthalmos. The patient was clinically euthyroid, the baseline thyroid function tests were normal, but the thyroid stimulating hormone response to thyrotrophin releasing hormone was flat. Computed tomographic scan and magnetic resonance imaging of the orbits showed left medial and inferior rectus muscle thicken...

Myasthenia gravis (MG) is a disease of autoimmunity with variable and diverse clinical presentations. The target tissue is neuromuscular junction of skeletal muscles, where efficient nerve impulse transmission is hampered leading to less effective muscle contraction. Patients of MG usually present with bilateral ptosis, diplopia and fatigability, which may or may not coexist with generalised we...

I. Anesthesia. XXXVII. The Anesthetic Action of Isopropyl Vinyl Ether. John C. Krantz, Jr., C. Jelleff Carr, Go Lu and Mary Jane Fassel 1 II. Synthetic Curare-Like Agents Which are Reversible by Tensilon. Lowell 0. Randall 7 III. The Conversion of Decamethonium-Like Agents to Tensilon-Reversible Agents by Aromatic Substituents. Lowell 0. Randall 16 IV. Effect of Adrenocortical Steroids and Adre...

est (rst) is the most commonly used electrodiagnostic test to asses the defect of neuromuscular transmission, which is reported to be positive in the diffuse and restricted ocular forms 60-95% and 14-50%, respectively. in a cross-sectional study, to determine the efficacy of repetitive stimulation test in myasthenia gravis, we evaluated the results in 30 cases who were hospitalized in imam khom...

objective this study was undertaken to evaluate the clinical spectrum of myasthenia gravis in children and determine factors that help the clinician in his/her diagnosis and management. materials & methods a retrospective review was performed on all pediatric patients suffering from myasthenia gravis (m.g) admitted in the department of pediatric neurology of the mofid hospital of the shaheed be...

Female Among the 62 cases the number of Chinese, Malay and Indian patients were 44, 10 and 8 respectively. The average racial composition of patients in the medical ward was 45% Chinese, 23% Malays and 280/0 Indians. After adjusting for the racial difference of the admission, the likelihood of the different races in contracting the illness is Chinese: Malay : Indian 3.41 : 1.5 : 1. The sex rati...

Mr. BC, 25 year old farmer from Sarlahi district, Hindu by religion, was admitted in medical ward of Kathmandu Medical College & Teaching Hospital on 2060/05/31 with the chief complaints of generalised weakness of whole body, easy fatigability, difficulty in speaking, drooping of both the eyelids for the past 9 months. All his symptoms used to be worse on exertion especially in the evening hour...