scholarly journals S2057 Dysphagia Refractory to Pharmacotherapy in a Myasthenic Patient

2021 ◽  
Vol 116 (1) ◽  
pp. S890-S890
Author(s):  
Aleem Ali ◽  
Radhika Sharma ◽  
Herit Vachhani ◽  
Ron Schey
Keyword(s):  
Myasthenic Patient

scholarly journals Video-assisted thoracoscopic extended thymectomy in myasthenic children

2013 ◽  
Vol 5 (1) ◽  
pp. 4 ◽  
Author(s):  
Rita Sonzogni ◽  
Lorenzo Novellino ◽  
Alberto Benigni ◽  
Ilaria Busi ◽  
Magda Khotcholava ◽  
...  
Keyword(s):  
Case Reports ◽  
Preoperative Evaluation ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Ventilator Weaning ◽  
New Drugs ◽  
Extended Thymectomy ◽  
Myasthenic Patient ◽  
Surgical Department ◽  
Video Assisted

Myasthenia gravis (MG) is an autoimmune disease marked by weakness of voluntary musculature. Medical and surgical therapy of adult myasthenia is well documented. There is little pediatric surgical evidence, only a few case reports being available. The aim of this paper is to verify whether the surgical and anesthesiological techniques can warrant an early and safe discharge from the operating room. The secondary aim is to assess the presence of perioperative indicators that can eventually be used as predictors of postoperative care. During the years 2006-2009, 10 pediatric patients were treated according to a surgical approach based on video assisted thoracoscopic extended thymectomy (VATET). Standard preoperative evaluation is integrated with functional respiratory tests. Anesthetic induction was made with propofol and fentanyl/remifentanyl and maintenance was obtained with sevoflurane/desflurane/propofol ± remifentanyl. A muscle relaxant was used in only one patient. Right or left double-lumen bronchial tube (Ruesch Bronchopart® Carlens) placement was performed. Six patients were transferred directly to the surgical ward while 4 were discharged to the intensive care unit (ICU); ICU stay was no longer than 24 h. Length of hospital stay was 4.4±0.51 days. No patient was readmitted to the hospital and no surgical complications were reported. Volatile and intravenous anesthetics do not affect ventilator weaning, extubation or the postoperative course. Paralyzing agents are not totally contraindicated, especially if short-lasting agents are used with neuromuscular monitoring devices and new reversal drugs. Perioperative evaluation of the myasthenic patient is mandatory to assess the need for postoperative respiratory support and also predict timely extubation with early transfer to the surgical department. Availability of new drugs and of reversal drugs, the current practice of mini-invasive surgical techniques, and the availability of post anesthesia care units are the keys to the safety and successful prognosis of patients affected by MG who undergo thymectomy.

Fine specificity of an AChR-reactive T cell line from a young myasthenic patient

1991 ◽  
Vol 4 (6) ◽  
pp. xi
Author(s):  
B.K. Ong ◽  
N Willcox ◽  
P Wordsworth ◽  
D Beeson ◽  
A Vincent ◽  
...  
Keyword(s):  
T Cell ◽  
Cell Line ◽  
Myasthenic Patient ◽  
Fine Specificity

Myasthenia gravis: the patient in crisis

1991 ◽  
Vol 11 (7) ◽  
pp. 18-26 ◽  
Author(s):  
E Chipps
Keyword(s):  
Critical Care ◽  
Myasthenia Gravis ◽  
Functional Capacity ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Myasthenic Patient ◽  
Life Threatening ◽  
Life Threatening Event

Crisis in the myasthenic patient is a life-threatening event. The expertise of the critical care nurse is crucial to the prevention of complications and the return of the patient to a functional capacity.

scholarly journals De novo thymic carcinoma or malignant transformation: a myasthenic patient presented with multiple mediastinal tumours

2020 ◽  
Vol 8 (7) ◽  
Author(s):  
Chu‐Pin Pai ◽  
Chih‐Ming Lin ◽  
Yi‐Chen Yeh ◽  
Chien‐Sheng Huang ◽  
Biing‐Shiun Huang
Keyword(s):  
Malignant Transformation ◽  
Thymic Carcinoma ◽  
De Novo ◽  
Myasthenic Patient ◽  
Mediastinal Tumours

5-30-12 Use of botulinum toxin in a myasthenic patient with cervical dystonia: Case report

1997 ◽  
Vol 150 ◽  
pp. S317
Author(s):  
M.R.R. Gonçalves ◽  
E.R. Barbosa ◽  
P.E. Marchiori ◽  
A.A. Zambon
Keyword(s):  
Case Report ◽  
Botulinum Toxin ◽  
Cervical Dystonia ◽  
Myasthenic Patient

Reversal of neuromuscular blockade with sugammadex in an obese myasthenic patient undergoing thymectomy

2011 ◽  
Vol 25 (2) ◽  
pp. 316-317 ◽  
Author(s):  
Helena Argiriadou ◽  
Kyriakos Anastasiadis ◽  
Evanthia Thomaidou ◽  
Dimitrios Vasilakos
Keyword(s):  
Neuromuscular Blockade ◽  
Myasthenic Patient

Intensive care of the myasthenic patient

Neurology ◽  
1997 ◽  
Vol 48 (Supplement 5) ◽  
pp. 70S-75S ◽  
Author(s):  
S. A. Mayer
Keyword(s):  
Intensive Care ◽  
Myasthenic Patient

Henry R. Viets, MD, and the history of myasthenia gravis

Neurology ◽  
2020 ◽  
pp. 10.1212/WNL.0000000000011239
Author(s):  
Robert M. Feibel
Keyword(s):  
Myasthenia Gravis ◽  
Medical School ◽  
History Of Medicine ◽  
Harvard Medical School ◽  
Massachusetts General Hospital ◽  
Great Success ◽  
Myasthenic Patient ◽  
History Of ◽  
Medical Historian

Henry R. Viets (1890–1969) was both a noted neurologist and medical historian. While at Harvard Medical School, from which he graduated in 1916, he attracted the attention of Harvey Cushing who directed Viets into these disciplines. Cushing arranged for Viets to take a fellowship in Oxford in the year after his graduation. With Cushing's recommendation, he lived with Sir William and Lady Osler and did research with the famous neurologist Sir Charles Sherrington. Viets was in London in 1935 when he heard about the remarkable success of Mary Walker in treating myasthenia gravis, first with physostigmine and then with neostigmine (Prostigmin). Securing an ampoule of this drug, he took it to the Massachusetts General Hospital where he was an attending neurologist and in March 1935 injected it into a myasthenic patient with great success. He established the first Myasthenia Gravis Clinic in the world and was a pioneer in the treatment of this once obscure disease: he evaluated hundreds of patients and published many articles on myasthenia. He continued this association for over 30 years. Under the tutelage of Cushing and Osler, Viets became a medical historian and bibliophile, publishing hundreds of articles and several books on many different subjects in the history of medicine. He was the President of the American Association for the History of Medicine and curator of the Boston Medical Library that eventually joined with the Harvard Medical School Library. Viets served on the Editorial Board of the New England Journal of Medicine for 40 years.

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