التفاصيل البيبلوغرافية
| العنوان: |
Exacerbation of a case of myasthenia gravis during therapeutic electric stimulation. |
| المؤلفون: |
Pease WS, Lagattuta FP |
| المصدر: |
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 1987 Sep; Vol. 68 (9), pp. 568-70. |
| نوع المنشور: |
Case Reports; Journal Article |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: W.B. Saunders Country of Publication: United States NLM ID: 2985158R Publication Model: Print Cited Medium: Print ISSN: 0003-9993 (Print) Linking ISSN: 00039993 NLM ISO Abbreviation: Arch Phys Med Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Philadelphia, PA : W.B. Saunders |
| مواضيع طبية MeSH: |
Electric Stimulation Therapy/*adverse effects , Myasthenia Gravis/*complications, Adult ; Female ; Humans ; Muscle Contraction ; Myasthenia Gravis/drug therapy ; Pyridostigmine Bromide/therapeutic use |
| مستخلص: |
In patients with myasthenia gravis, vigorous exercise and electric stimulation produce weakness that is usually reversed by rest. We describe a case of persistent weakness in a 31-year-old woman with myasthenia gravis following therapeutic electric stimulation. She was injured in an automobile accident, with cervical and lumbar muscle strain diagnosed by a local emergency room physician. She consulted a chiropractor two days later because her symptoms had not abated. The chiropractic treatment of short-wave diathermy, high-voltage electric stimulation and spinal manipulation continued thrice weekly for six weeks. She then presented to her neurologist, complaining of persistent fatigue, weakness, increased diplopia, cervical and occipital pain, and disrupted sleep. Neck weakness had developed since her last visit. She was admitted to the hospital for evaluation. Neurologic exam showed no other abnormality of strength, sensation, or reflexes. The exacerbation of myasthenia responded to prednisone and increased pyridostigmine. After two months she required only her preinjury dose of pyridostigmine (60 mg q.d. p.r.n.) to prevent diplopia or fatigue, and her strength was normal. Repeated electrically induced muscle contraction is suspected of causing this exacerbation of myasthenia gravis. |
| المشرفين على المادة: |
KVI301NA53 (Pyridostigmine Bromide) |
| تواريخ الأحداث: |
Date Created: 19870901 Date Completed: 19871019 Latest Revision: 20131121 |
| رمز التحديث: |
20221213 |
| PMID: |
3498464 |
| قاعدة البيانات: |
MEDLINE |
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