Myasthenia gravis and pregnancy. Presentation of three cases

Authors

  • Rolando Álvarez LLanes
  • Carlos Alberto Casas Díaz

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 myasthenia

Downloads

Download data is not yet available.

Author Biographies

Rolando Álvarez LLanes

Especialista de 1er Grado en Medicina General Integral. Especialista de 1er Grado en Neurología. Máster en Urgencias Médicas. Profesor Asistente.

Carlos Alberto Casas Díaz

Especialista de 1er Grado en Medicina General Integral. Especialista de 1er Grado en Neurología. Profesor Asistente.

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

Published

2014-12-19

How to Cite

1.
Álvarez LLanes R, Alberto Casas Díaz C. Myasthenia gravis and pregnancy. Presentation of three cases. Mediciego [Internet]. 2014 Dec. 19 [cited 2024 Nov. 27];20(2). Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/40

Issue

Section

Case Report

Most read articles by the same author(s)