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ISSN 2448-8909 (Print)

2008, Number 2

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Med Crit 2008; 22 (2)

Myasthenia gravis in a woman embarrassed with 24 weeks of gestation. Report of a case

Jiménez CCM, Bracamontes MRG, García LV

Language: Spanish
References: 14
Page: 105-110
PDF size: 153.08 Kb.


ABSTRACT

We presented the case of a woman of 19 years of age, with pregnancy of 24 weeks of gestation, that present to generalized weakness, febrile syndrome, respiratory insufficiency and sialorrea, is handled in the Unit of Intensive Therapy, I am made electromyography before lost of the muscular force, with results positive for Myasthenia Gravis, the antiacetylcholine antibodies were positives, confirming the diagnosis, handling with pyridostigmine and steroids, being progressive improvement. The case by the importance that the diagnosis has and the treatment of the cases of Myasthenia Gravis is discussed that are associated with the pregnancy.


REFERENCES

  1. Jackson CE. The effect of myasthenia gravis on pregnancy and the newborn. American Academy of Neurology 2003:1459-1460.

  2. Kothari MJ. Myasthenia gravis. JAOA 2004;104:377-384.

  3. Perucca PE, Cullar JE, Ricci AP. Miastenia gravis: Embarazo e impacto perinatal. Rev Chil Obstet Ginecol 2006;71(3):201-206.

  4. Hetherington NA, Losek JD. Myasthenia gravis vs cholinergic crisis. Pediatric Emergency Care 2005;21:546- 548.

  5. Thanvi BR, Lo TCN. Update on myasthenia gravis. Postgrad Med J 2004;80:690-700.

  6. Suárez GA. Miastenia gravis: diagnóstico y tratamiento. Departamento de Neurología. Mayo Clinic Rochester, Minnesota. EUA. 2000;9:1-2.

  7. Ferrero S, Pretta S, Nicoletti A, Petrera P, Argui N. Myasthenia gravis: La dirección es emitida durante el embarazo. Eur J obstet Gynecol Reprod Biol 2005;121 (2):129-38.

  8. Martínez-Castrillo JC. Miastemia gravis y enfermedades de la unión neuromuscular. Medicine 1998;7(100):4676-4683.

  9. http:/www.diariosalud.net-diariosalud.net Miastenia Gravis, una enfermedad subdiagnosticada. 2006.

  10. http:/www.healthsystem.virginia.edu 2007

  11. Moreno GLI. Anestesia y reanimación en la miastenia gravis. Servicio de Anestesiología y Reanimación. Hospital Universitario «La Paz». Madrid.

  12. Ossermann KE. Myasthenia. New York: Grune and Stration; 1958.

  13. Engel AG. Myasthenia syndromes. In: Engel AG: Franzini, Amstrong C., editors. Myologi. 2nd Ed. New York: Mc Graw-Hill; 1994:1798-835.

  14. Conti-Fine BM, Milan M, Kaminsky HJ. Myasthenia gravis: past, present and future. The Journal of Clinical Investigation 2006;116:2843- 2854.




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