how to fight myasthenia gravis fatigue

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. 

Ptosis in myasthenia gravis: extended fatigue and recovery bedside test.

Fluctuating double vision and ptosis are the hallmarks of extraocular muscle weakness in myasthenia gravis (MG). On sustained upward gaze, ptosis usually increases temporarily. The first description of using this fatigue sign has been attributed to the Scottish neurologist John Simpson. Cogan added his lidtwitch sign to the diagnostic bedside armamentarium.1 For many years, we have applied a fa...

Fatigue in myasthenia gravis: is it more than muscular weakness?

BACKGROUND Few studies have focused on fatigue in myasthenia gravis (MG), and fatigue in relation to the autonomic system has never been systematically explored in these patients. The study aimed to document the prevalence of MG-related fatigue in ethnic Norwegians and to examine whether MG severity is associated with symptoms of autonomic disturbance, which in turn is associated with fatigue a...

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,...