Document Detail

Respiratory failure due to vocal cord paresis in myasthenia gravis.
MedLine Citation:
PMID:  12097777     Owner:  NLM     Status:  MEDLINE    
This report describes a female patient with myasthenia gravis who developed respiratory failure due to vocal cord paresis. The diagnosis was delayed due to the absence of other myasthenic symptoms (e.g. ptosis, muscle weakness and dysphagia). On direct laryngoscopy, her vocal cords were seen to be in the paramedian position and to move apart after the intravenous injection of edrophonium. The patient initially presented with ocular myasthenia and later returned with isolated respiratory failure. A review of the pertinent literature revealed few reports on myasthenia gravis presenting in this manner.
Koji Teramoto; Masayoshi Kuwabara; Yoshito Matsubara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Respiration; international review of thoracic diseases     Volume:  69     ISSN:  0025-7931     ISO Abbreviation:  Respiration     Publication Date:  2002  
Date Detail:
Created Date:  2002-07-04     Completed Date:  2003-05-22     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0137356     Medline TA:  Respiration     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  280-2     Citation Subset:  IM    
Copyright Information:
Copyright 2002 S. Karger AG, Basel
Second Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowa, Otsu, Japan.
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MeSH Terms
Aged, 80 and over
Intubation, Intratracheal
Myasthenia Gravis / complications*
Respiratory Insufficiency / etiology*,  therapy
Respiratory Sounds / etiology
Vocal Cord Paralysis / complications*

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