García OAA, Ravelo NS, Rives GY, Álvarez BD

Language: Spanish
References: 12
Page: 338-345
PDF size: 39.46 Kb.

ABSTRACT

Myasthenia gravis is an autoimmune disease of the motor end-plate of the striated muscle, characterized by fluctuant muscular fatigue and weakness. Its prevalence is around 5 cases per 100 000 persons. The reported patient presented symptoms limiting the muscles near the eye. This entity is named ocular myasthenia gravis. Its incidence in pregnancy is infrequent. It is reported the case of a female patient, aged 23 years, attended in the Infertility Consultation of the municipality Isla de la Juventud. The case was consulted with several medical specialties. The delivery was produced by emergency cesarean section, applying regional anesthesia, due to the worrying fetal status. The newborn had good apgar score and weight. Mother and child showed satisfactory evolution during the postpartum period.

REFERENCES

1. Álvarez LLanes R, Casas Díaz CA. Miastenia grave y embarazo. Presentación de tres casos. Mediciego [Internet]. 2014 Dic [citado 15 Ene 2016];20(Supl 2). Disponible en: http://bvs.sld.cu/revistas/mciego/vol20_Supl%202_14/casos/T13.html

2. Midelfart Hoff J, Midelfart A. Maternal myasthenia gravis: a cause for arthrogryposis multiplex congenita. Journal of Children’s Orthopaedics. 2015;9(6): 433-35. Citado en PubMed; PMCID: PMC 4661156.

3. Boldingh MI, Dekker L, Maniaol AH. An up-date on health-related quality of life in myasthenia gravis -results from population based cohorts. Health and Quality of Life Outcomes. 2015;13:115. Citado en PubMed; PMCID: PMC4522107.

4. Naranjo Fernández RM, Estévez Miranda Y, Méndez Sánchez TJ, et al. Miastenia grave y miastenia grave ocular. Rev Cubana Oftalmol [Internet]. 2013 [citado 15 Ene 2016];26(Supl 1):653-67. Disponible en: http://www.revoftalmologia.sld.cu/index.php/oftalmologia/article/view/227

5. Nair AG, Patil-Chhablani P, Venkatramani DV, et al. Ocular myasthenia gravis: A review. Indian Journal of Ophthalmology. 2014;62(10):985-91. Citado en PubMed; PMCID: PMC4278125.

6. Flores PH, Rodríguez MO, Flores PY, et al. Crisis miasténica asociada a influenza A H1N1. Presentación de un caso. Rev Ciencias Médicas de Pinar del Rio [Internet]. 2012 [citado 11 Ene 2016];16(2):287-94.Disponible en: http://scielo.sld.cu/scielo.php?pid=S1561- 31942012000200025&script=sci_arttext&tlng=pt

7. Briones Vega CG, Viruez Soto JA, Vallejo Narváez CM, et al. Plasmaféresis en miastenia grave y embarazo. Rev Asoc Mex Med Crit y Ter Intensiva [Internet]. 2015 Ene-Mar [citado 18 Ener 2016];29(1):46-9. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0187- 84332015000100008

8. Sikka P, Joshi B, Aggarwal N, et al. Distinguishing Myasthenia Exacerbation from Severe Preeclampsia: A Diagnostic and Therapeutic Challenge. J Clin Diagn Res. 2015;9(8):QD05–QD06. Citado en PubMed; PMCID: PMC4576596.

9. Fernandes Oliveira E, Nacif SR, Alves Pereira N. Sleep disorders in patients with myasthenia gravis: a systematic review. J Phys Ther Sci. 2015;27(6):2013-18. Citado en PubMed; PMCID: PMC4500033.

10. Suzuki S, Murai H, Imai T. Quality of life in purely ocular myasthenia in Japan. BMC Neurology. 2014;14:142. Citado en PubMed; PMCID: PMC4088302.

11. Elsais A, Wyller VB, Loge JH, et al. Fatigue in myasthenia gravis: is it more than muscular weakness? BMC Neurology. 2013;13:132. Citado en PubMed; PMCID: PMC3852076.

12. Chaudhry SA, Vignarajah B, Koren G. Myasthenia gravis during pregnancy. Can Fam Physician. 2012;58(12):1346-49. Citado en PubMed; PMCID: PMC3520659. 13- Berlit S, Tuschy B, Spaich S, et al. Myasthenia Gravis in Pregnancy: Case Rep Obstet Gynecol. 2012:736024. Citado en PubMed; PMCID: PMC3335651.