Myasthenia gravis and pregnancy. Presentation of three cases
Abstract
This is a report of three cases of myasthenia Gravis in pregnant women with positive diagnosis carried out with positive electromyography studies, positive myasthenia test, positive Tensilon test and determination in serum of Antibodies against acetylcholine receptor in one of the cases, who arrived at Neurology consultation, pregnant and completely asymptomatic with treatment of prednisone which evolved without complications until the third trimester appeared some symptoms of decompensation in two of them that it was forced to take action to achieve pregnancy to evolve so much as possible, according to risk and benefit of mother and fetus; deliveries were by Cesarean sections indicated by obstetricians, in the puerperium period one of them had decompensation due to sepsis and it was needed intensive care to compensate the crisis, the newborn did not show symptoms of neonatal myastheniaDownloads
References
Jiménez Cárdenas CM, Bracamontes Méndez RG, García López V. Miastenia gravis en una mujer embarazada con 24 semanas de gestación. Reporte de un caso. Rev Asoc Mex Med Crit Ter Intens. 2008; 22(2):105-110.
Rezania K. Neuromuscular diseases in pregnancy. Neurol Disord Preg [Internet]. 2010 [citado 23 Oct 2013]; 159: [aprox. 8 p.]. Disponible en: http://www.google.com/books?hl=es&lr=&id=-iduftRT9sUC&oi=fnd&pg=PA159&dq=Neuromuscular+Diseases+in+pregnancy.&ots=St_Ja6xCvY&sig=mXx2ymtYQB_mnkO0iXsl6jWkUbE
Ferrero S, Pretta S, Nicoletti A. Myasthenia gravis, management issues during pregnancy. Eur J Obstet Gynecol Reprod Biol. 2005; 121(2):129-38.
Álvarez Robles S, Álvarez Villamizar GD. Miastenia gravis en el embarazo. Rev Colombiana Anestesiol [Internet]. 2009 [citado 12 Jul 2013]; 37(4):374-383. Disponible en: http://redalyc.uaemex.mx/src/inicio/ArtPdfRed.jsp?iCve=195116312006.
David Sáez M, Paulo Fuentes S. Neurología y embarazo. Rev Chil Neur Psiquiatr [Internet]. 2010 [citado 23 Jul 2013]; 48(4):79-291. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272010000500004
Sivakumar S. Diagnosis and management of myasthenia gravis. Progr Neurol Psychiatr. 2014; 18(1): 8.
Chaudhry SA, Vignarajah B, Koren G. Myasthenia gravis during pregnancy. Can Fam Physician [Internet]. 2012 [citado 8 Ago 2013]; 58(12):1346-1349. Disponible en: http://www.cfp.ca/content/58/12/1346.short
Perucca E, Cuellar J, Ricci A, Altamirano A, Cuadra C, Sáez M. Miastenia gravis, embarazo e impacto perinatal. Rev Chil Obstet Ginecol. 2006; 71(3): 201-206.
Andersen JB, Heldal AT, Engeland A, Gilhus NE. Myasthenia gravis epidemiology in a national cohort; combining multiple disease egistries. Acta Neurol Scand. 2014; 129(s198): 34-42.
Lorenzo OH, Hernández AV, Albernas FC, Ferrer JI. Miastenia gravis: diagnóstico y tratamiento. Arch Méd Camagüey [Internet]. 2009 [citado 12 Jul 2013]; 13(5): [aprox. 9 p.]. Disponible en: http://www.amc.sld.cu/amc/2009/Vol13n5/html/amc140509.html
Santana Hernández G, Doblado Donis N, Román Pastoriza J, Fernández Arenas C, García Pinal ME, Sánchez Ruiz JE. Miastenia grave y embarazo: presentación de un caso. Rev Méd Electr [Internet]. 2011 [citado 1 Jul 2013]; 33(4): 528-533. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1684-18242011000400015&script=sci_arttext
Espejo LD. Sobre un caso de miastenia gravis. Rev Neuro Psiquiatr [Internet]. 2013 [citado 1 Jul 2013]; 1(2):109-134. Disponible en: http://www.upch.edu.pe/famed/revista/index.php/RNP/article/viewFile/591/635
Downloads
Published
How to Cite
Issue
Section
License
Mediciego is licensed under a Creative Commons Attribution/NonCommercial Attribution 4.0 International Public License, so you may copy, reproduce, distribute, publicly perform and generate derivative works, provided you cite and acknowledge the original author. However, it is not allowed to use the original work for commercial or lucrative purposes.
