Undiagnosed myasthenia gravis masquerading as eclampsia

International Journal of Obstetric Anesthesia

Volumn 16, Issue 4, 2007, Pages 379-382

  Mueksch, J N ^a   Stevens, W A ^a  

^a DREXEL UNIVERSITY COLLEGE OF MEDICINE   (United States)

Author keywords

Cesarean section; Convulsion; Eclampsia; Motor neuron diseases; Myasthenia gravis; Myasthenia gravis differential diagnosis; Preeclampsia; Pregnancy; Seizure

Indexed keywords

CITRATE SODIUM; EDROPHONIUM; ETOMIDATE; FENTANYL; GLYCOPYRRONIUM BROMIDE; MAGNESIUM SULFATE; NEOSTIGMINE; NITROUS OXIDE; PREDNISONE; PYRIDOSTIGMINE; ROCURONIUM; SEVOFLURANE; SUXAMETHONIUM;

ADULT; ANAMNESIS; ARTICLE; BLOOD PRESSURE; CASE REPORT; CESAREAN SECTION; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; DRUG RELEASE; DRUG WITHDRAWAL; ECLAMPSIA; FEMALE; FOLLOW UP; HUMAN; INTENSIVE CARE UNIT; LABORATORY TEST; MYASTHENIA GRAVIS; PHYSICAL EXAMINATION; PREGNANCY; RECOVERY ROOM; SEIZURE; SUSTAINED DRUG RELEASE; VITAL SIGN;

ADULT; ANTICONVULSANTS; CESAREAN SECTION; DIAGNOSIS, DIFFERENTIAL; ECLAMPSIA; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; MAGNESIUM SULFATE; MYASTHENIA GRAVIS; POSTOPERATIVE COMPLICATIONS; PREGNANCY; PREGNANCY COMPLICATIONS; RESPIRATORY INSUFFICIENCY; SEIZURES;

EID: 34548480718     PISSN: 0959289X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijoa.2007.03.012     Document Type: Article

References (15)

1. Stafford I.P., and Dildy G.A. Myasthenia gravis and pregnancy. Clin Obstet Gynecol 48 (2005) 48-56
2. O'Neill G.N. Acquired disorders of the neuromuscular junction. Int Anesth Clin 44 (2006) 107-121
3. Plauche W.C. Myasthenia gravis in mothers and their newborns. Clin Obstet Gynecol 34 (1991) 82-99
4. Hoff J.M., Daltveit A.K., and Gilhus N.E. Myasthenia gravis: consequences for pregnancy, delivery, and the newborn. Neurology 61 (2003) 1362-1366
5. Jackson C.E. Patient page. The effect of myasthenia gravis on pregnancy and the newborn. Neurology 61 (2003) 1459-1460
6. Thanvi B.R., and Lo T.C. Update on myasthenia gravis. Postgrad Med J 80 (2004) 690-700
7. Basaranoglu G., and Erden V. Anesthesia of a patient with cured myasthenia gravis. Anesth Analg 96 (2003) 1842-1843
8. Warren J., and Sharma S.K. Ventilatory support using bilevel positive airway pressure during neuraxial blockade in a patient with severe respiratory compromise. Anesth Analg 102 (2006) 910-911
9. Roizen M., and Fleisher L. Anesthetic Implications of Concurrent Diseases. Miller's Anesthesia. 6th ed. (2006), Churchill-Livingston, Philadelphia 539-540
10. Rolbin S.H., Levinson G., Shnider S.M., and Wright R.G. Anesthetic considerations for myasthenia gravis and pregnancy. Anesth Analg 57 (1978) 441-447
11. Sibai B.M. Diagnosis, prevention, and management of eclampsia. Obstet Gynecol 105 (2005) 402-410
12. Aagaard-Tillery K.M., and Belfort M.A. Eclampsia: morbidity, mortality, and management. Clin Obstet Gynecol 46 (2003) 12-23
13. Djelms J., Sostarko M., Mayer D., and Sostarko M. Myasthenia gravis in pregnancy: report on 69 cases. Eur J Obstet Gynecol Reprod Biol 104 (2002) 21-25
14. Hirshfeld-Cytron J., Lam C., Karumanchi S.A., and Lindheimer M. Late postpartum eclampsia: examples and review. Obstet Gynecol Surv 61 (2006) 471-480
15. Iams J. Preterm Birth. Gabbe: Obstetrics - Normal and Problem Pregnancies. 4th ed. (2002), Churchill-Livingston, Philadelphia