Caesarean Section in a Patient with Myasthenia Gravis: An Anaesthetic Challenge
Journal Title: Scholars Journal of Medical Case Reports - Year 2013, Vol 1, Issue 2
Abstract
Myasthenia Gravis is an acquired, chronic autoimmune disorder which affects neuromuscular junction presenting with easy fatigability, progressive muscular weakness, diplopia, difficulty in speaking and swallowing. Respiratory muscle paralysis may lead to ventilatory failure in severe cases. Myesthenia gravis is characterized by decreased in functioning of acetylcholine receptors at the neuromuscular junctions due to to their destruction by circulating antibodies. In pregnancy the disease may go into remission or may exacerbate at any time during first, second and third trimesters or postpartum period. We are reporting the case of a 24year old primigravida, known case of myasthenia gravis who underwent caesarean section and developed muscular weakness on first postoperative day. Her baby also had a weak cry, hypotonia and tachypnoea. Baby was shifted to neonatal intensive care unit with continuous oxygen supplementation. Baby was kept under close observation and recovered well after one week. Both, the mother and the baby were managed in intensive care unit and responded well . Keywords: Myasthenia Gravis, fatigability, postoperative, chronic, autoimmune disorder
Authors and Affiliations
Dr. Sidharth Sraban Routray, Dr. Khagaswar Rout, Dr. Debdas Biswal, Dr. Debasis Mishra
Keywords
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