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
Related Articles
- EP ID EP375201
- DOI -
- Views 53
- Downloads 0
Extra Uterine Pregnancy on Cesarean Scar: Case Report and Literature Review
Caesarean section scar pregnancy is a rare form of ectopic pregnancy that is life-threatening and engages functional prognosis. Diagnosis is more often made in the first trimester with endo-vaginal ultrasound. Treatment...
The Migration of Air into the Aorta from an Aorto-Pulmonary Parenchymal Fistula
A 75-year-old man called his care manager with his cell phone when he suddenly experienced hematemesis. Unfortunately, by the time that the care manager arrives at his house, the patient had already fallen unconscious. W...
A Rare Presentation of Outer Retinal Toxoplasmosis in an Immunocompromised Individual
The immunocompromised state of an individual can give rise to many devastating opportunistic diseases. Outer retina toxoplasmosis is such an example, which is seen mainly in immunocompromised patients. Rapid and precise...
Benign Cementoblastoma and Radiological Differential Diagnosis: A case Report
In the past the benign cementoblastoma was recognized in the World Health Organization’s classification of odontogenic tumors as one of the cementoma neoplasias. Recently the benign cementoblastoma is included into ‘Mese...
Small cell carcinoma of Lung metastasis to skin –A case report
A 40 year-old male, known case of small cell carcinoma lung presented with multiple painless,cutaneous nodules in the lumbar area of 2 months duration. Fine needle aspiration was doneand revealed metastatic deposits of...