Güler, S Siirt Devlet Hastanesi - Nöroloji Kliniği, Turkey , Bir, L S Pamukkale Üniversitesi - Tıp Fakültesi - Nöroloji Anabilim Dalı, Turkey , Acar, G Pamukkale Üniversitesi - Tıp Fakültesi - Nöroloji Anabilim Dalı, Turkey

Myasthenic crisis: 3 case reports and review of the literature

14769

Within the last year, records of three cases of patients who had episodes of a myasthenic crisis were reviewed. A crisis accompanied by other causes, treatment response and prognosis were analyzed. The diagnosis of myasthenia gravis was a result of clinical, pharmacological and electrophysiological studies. Patients had infection triggers. Our patients with myasthenic crisis were divided into two groups. Patients were treated as patients with the diagnosis of myasthenia gravis or the patients who first presented with myasthenic crisis. Two of our patients had a diagnosis of myasthenia gravis. In one of our patients, irregular drug usage and physical stress was determined. In one patient, the top of the basilar syndrome accompanied by a myasthenic crisis that occured because of a reduction in the patient’s drug dose. Another case of myasthenic crisis was a patient who was diagnosed with myasthenia gravis previously. All of our patients with the diagnosis of myasthenic crisis took IVIG treatment. Controlling the secondary reasons that may cause the myasthenic crisis, short intubation period, and effective treatment to avoid medical complications proved to be more successful.

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Myasthenic crisis , respiratory insufficiency , intravenous immunoglobulni , prognosis

Ege Journal Of Medicine

203