https://scholars.lib.ntu.edu.tw/handle/123456789/204134
標題: | Myasthenia Gravis with Superimposed Spinal Cord Injury: A Case Report | 作者: | LIN, CHE-SHENG WANG, YEN-HO PAN, SHIN- LIANG |
關鍵字: | spinal cord injuries;myasthenia gravis;rehabilitation | 公開日期: | 2008 | 卷: | v.40 | 期: | n.8 | 起(迄)頁: | 684-686 | 來源出版物: | JOURNAL OF REHABILITATION MEDICINE | 摘要: | Both myasthenia gravis and traumatic spinal cord injury are uncommon disorders and their concurrence is extremely rare. We report here the case of a man with stable myasthenia gravis with spinal cord injury due to a motor vehicle accident. His muscle strength and sensory function in all 4 limbs partially recovered during the initial hospitalization . However, after a later episode of pneumonia and urinary tract infection, muscle strength deteriorated and weakness of the ocular muscles occurred. A relapse of myasthenia gravis was confirmed by the elevated anti- acetylcholine receptor antibody titre. Muscle strength recovered rapidly after control of infection and treatment of myasthenia gravis exacerbation . In this case report, we show that spinal cord injury-related complications, including infection or emotional stress, could trigger a relapse of myasthenia gravis. This highlights the importance of recognizing an exacerbation of myasthenia gravis in spinal cord injury patients with a history of myasthenia gravis, since they are prone to urinary and pulmonary infection. Although exacerbation of myasthenia gravis might prolong hospitalization, the functional outcome of spinal cord injury might not be affected if the exacerbation is diagnosed and treated quickly. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/175313 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。