Pregnant woman with ocular myasthenia gravis. A case report
Keywords:
ocular myasthenia gravis, pre-natal care, pregnant women.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.
Downloads
References
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 [Internet]. 2015 [cited 2016 Jan 19]; 9(6): 433-435. doi:10.1007/s11832-015-0690-8.
Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4661156/
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 [Internet]. 2015 [cited 2016 Jan 19]; 13:115.
doi:10.1186/s12955-015-0298-1.
Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522107/
4. Naranjo Fernández RM, Estévez Miranda Y, Méndez Sánchez TJ, Dorrego Oduardo, M D, Rúa Martínez R. Miastenia grave y miastenia grave ocular. Rev Cub Oftal [revista en Internet]. 2013 [citado 15 Enero 2016]; 26 (Supl 1): 653-667, 2013. Disponible en: http://www.revoftalmologia.sld.cu/index.php/oftalmologia/article/view/227
http://www.medigraphic.com/pdfs/revcuboft/rco-2013/rcos131m.pdf
5. Nair AG, Patil-Chhablani P, Venkatramani DV, Gandhi RA. Ocular myasthenia gravis: A review. Indian Journal of Ophthalmology [Internet]. 2014 [cited 2016 Jan 11]; 62(10):985-991. doi:10.4103/0301-4738.145987.
Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278125/?report=classic
6. Flores PH, Rodríguez MO, Flores PY, Rodríguez GJN. Crisis miasténica asociada a influenza A H1N1. Presentación de un caso. Rev Ciencias Médicas de Pinar del Rio [revista en Internet]. 2012 [citado 11 Enero 2016]; 16(2): 287-294.
Disponible en: http://www.medigraphic.com/pdfs/pinar/rcm-2012/rcm122y.pdf
7. Briones-Vega CG,Viruez-Soto JA, Vallejo-Narváez CM, Tórrez-Morales F, Briones-GarduñoJC,DíazdeLeón-PonceMA. Plasmaféresis en miastenia grave y embarazo.
Rev Asoc Mex Med Crit y Ter Int [revista en Internet]. 2015 Ene-Mar [citado 18 Enero 2016]; 29(1): 46-49.
Disponible en: http://www.medigraphic.com/pdfs/medcri/ti-2015/ti151h.pdf
8.Sikka P, Joshi B, Aggarwal N, Suri V, Bhagat H. Distinguishing Myasthenia Exacerbation from Severe Preeclampsia: A Diagnostic and Therapeutic Challenge. Journal of Clinical and Diagnostic Research: JCDR [Internet]. 2015 [cited 2016 Jan 18]; 9(8):QD05-QD06. doi:10.7860/JCDR/2015/12789.6357.
Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4576596/
9. Fernandes Oliveira E, Nacif SR, Alves Pereira N. Sleep disorders in patients with myasthenia gravis: a systematic review. Journal of Physical Therapy Science [Internet]. 2015 [cited 2016 Jan 18]; 27(6):2013-2018. doi:10.1589/jpts.27.2013. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500033/?report=classic
10. Suzuki S, Murai H, Imai T. Quality of life in purely ocular myasthenia in Japan. BMC Neurology [Internet]. 2014 [cited 2016 Jan 13]; 14:142. doi:10.1186/1471-2377-14-142. Available from:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4088302/?report=classic
11. Elsais A, Wyller VB, Loge JH, Kerty E. Fatigue in myasthenia gravis: is it more than muscular weakness? BMC Neurology [Internet]. 2013 [cited 2016 Jan 13]; 13:132. doi:10.1186/1471-2377-13-132. Available from:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3852076/?report=classic
12. Chaudhry SA, Vignarajah B, Koren G. Myasthenia gravis during pregnancy. Canadian Family Physician[Internet]. 2012 [cited 2016 Jan 13]; 58(12):1346-1349.
Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520659/
13. Berlit S, Tuschy B, Spaich S, Sütterlin M, Schaffelder R. Myasthenia Gravis in Pregnancy: A Case Report. Case Reports in Obstetrics and Gynecology [Internet]. 2012 [cited 2016 Jan 13]; 2012:736024. doi:10.1155/2012/736024.
Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335651/
Published
How to Cite
Issue
Section
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.