Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetrician

Myasthenia Gravis (MG) is an acquired, autoimmune disorder affecting neuromuscular junction presenting with easy fatigability, progressive weakness, diplopia, difficulty in speaking and swallowing and even ventilatory failure in severe cases. During pregnancy the disease may go into remission or may...

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Main Authors: Manoj K Sanwal, Neha Baduni, Aruna Jain
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Obstetric Anaesthesia and Critical Care
Subjects:
Online Access:http://www.joacc.com/article.asp?issn=2249-4472;year=2012;volume=2;issue=1;spage=34;epage=37;aulast=Sanwal
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author Manoj K Sanwal
Neha Baduni
Aruna Jain
author_facet Manoj K Sanwal
Neha Baduni
Aruna Jain
author_sort Manoj K Sanwal
collection DOAJ
description Myasthenia Gravis (MG) is an acquired, autoimmune disorder affecting neuromuscular junction presenting with easy fatigability, progressive weakness, diplopia, difficulty in speaking and swallowing and even ventilatory failure in severe cases. During 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 28 year old primigravida, known case of MG, who underwent caesarean section and developed muscular weakness on third postoperative day. Her neonate also had tachypnoea and hypotonia, Both, the mother and the baby were managed aggressively and responded well to therapy.
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spelling doaj.art-0b5b9a109e6642e3b174187fc873ca7f2022-12-21T19:47:52ZengWolters Kluwer Medknow PublicationsJournal of Obstetric Anaesthesia and Critical Care2249-44722012-01-0121343710.4103/2249-4472.99317Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetricianManoj K SanwalNeha BaduniAruna JainMyasthenia Gravis (MG) is an acquired, autoimmune disorder affecting neuromuscular junction presenting with easy fatigability, progressive weakness, diplopia, difficulty in speaking and swallowing and even ventilatory failure in severe cases. During 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 28 year old primigravida, known case of MG, who underwent caesarean section and developed muscular weakness on third postoperative day. Her neonate also had tachypnoea and hypotonia, Both, the mother and the baby were managed aggressively and responded well to therapy.http://www.joacc.com/article.asp?issn=2249-4472;year=2012;volume=2;issue=1;spage=34;epage=37;aulast=SanwalMyasthenia gravispregnancythymectomyplasmapharesispyridostigmine
spellingShingle Manoj K Sanwal
Neha Baduni
Aruna Jain
Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetrician
Journal of Obstetric Anaesthesia and Critical Care
Myasthenia gravis
pregnancy
thymectomy
plasmapharesis
pyridostigmine
title Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetrician
title_full Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetrician
title_fullStr Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetrician
title_full_unstemmed Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetrician
title_short Caesarean section in a patient with Myasthenia Gravis: A bigger challenge for the anesthesiologist than the obstetrician
title_sort caesarean section in a patient with myasthenia gravis a bigger challenge for the anesthesiologist than the obstetrician
topic Myasthenia gravis
pregnancy
thymectomy
plasmapharesis
pyridostigmine
url http://www.joacc.com/article.asp?issn=2249-4472;year=2012;volume=2;issue=1;spage=34;epage=37;aulast=Sanwal
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AT arunajain caesareansectioninapatientwithmyastheniagravisabiggerchallengefortheanesthesiologistthantheobstetrician