Myasthenia gravis is a disease of great challenge to the anesthesiologist, because it affects the neuromuscular junction. Anesthetic management involves either muscle relaxant or non-muscle relaxant techniques. This case report documents the safe use of fentanyl, propofol and sevoflurane combination guided by bispectral index, without the use of muscle relaxants in a patient with myasthenia gra...

A young woman with epilepsy developed myasthenic symptoms while taking diphenylhydantoin. The clinical, electromyographic and pharmacologic findings were consistent with myasthenia gravis. Symptoms of myasthenia ceased on withdrawal of the drug, and recurred on readministration, with little apparent relationship to serum phenytoin levels. This unusual effect is discussed with reference to the k...

The idiopathic inflammatory myopathies, including dermatomyositis, are uncommon acquired autoimmune diseases, sometimes associated with interstitial lung disease. Myasthenia gravis, a separate autoimmune disorder involving the neuromuscular junction, has some overlapping clinical features but has only rarely been reported to occur simultaneously within the same patient. Here we present the firs...

UNLABELLED The aim of the study was to assess factors concurring to fatal outcome of patients operated for thymoma with or without myasthenia gravis. MATERIAL AND METHODS A retrospective observational study was carried out on a series of 10 patients treated for thymoma in the IIIrd Surgical Unit of "St. Spiridon" University Hospital. RESULTS Mean survival time was 4.45 years and mortality r...

background and aims:  myasthenia gravis (mg) is a chronic autoimmune disorder of neuromuscular transmission resulting in muscle weakness. while mg reportedly occurs in all ethnic groups, relative differences in disease prevalence are yet to be determined. the aim of this study was evaluation  of incidance and other disorders with it in kerman province of iran. methods: all patients with mg that...

Background: Myasthenia gravis is an autoimmune disease of the neuromuscular junction that results in fluctuating muscle weakness as well significant fatigue. Disease exacerbation a critical condition, and predisposing factors for it need to be identified improve preventive measures. Objectives: Our study aims determine myasthenia exacerbations group Iraqi patients. Subjects Methods: A total num...

when stretcher came to unit and i was put in my bed, nursing personnel of surgical ward said to me hello. i had seen their face from yesterday night when they were transferring patients from emergency ward to this unit.  in that time, i had the role of emergency ward assistant manager. today, i am a weak patient that even is unable for smallest movement. cause of my admission to hospital is mus...