Myasthenia Gravis with Caries Spine: An Anaesthetist's Perspective
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 10
Abstract
Myasthenia Gravis (MG) is an autoimmune disease of neuromuscular junction. It is characterized by weakness and fatigability of skeletal muscles. Tuberculosis (TB) being an infectious disease may exacerbate MG, resulting in higher complication and morbidity. Patients with MG receive immunosuppressive therapy exposing them to higher risk of TB. Anaesthesia and surgery in MG is associated with high risk to life and severe complications. The risk is mainly due to higher sensitivity to neuromuscular blocking agents (NMBAs). We bring forth the anaesthetic management and challenges in a known case of MG suffering TB lumbar spine planned for surgical decompression of lumbar spine. MG patients require special attention and individualized management in preparation for surgery, with close monitoring along with proper selection of anaesthetic agents. Surgery and anaesthesia in such patients are always high risk with complications scaling up to death.
Authors and Affiliations
Dr Sumedha Vashishth*
Keywords
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