Myasthenia gravis and myasthenic syndromes

Authors

  • Rute Relvas Interna do Internato Complementar de Neurologia, Serviço de Neurologia, Hospital de Santo António dos Capuchos, Lisboa
  • Manuel Gonçalves Assistente Hospitalar de Neurologia, Serviço de Neurologia, Hospital de Santo António dos Capuchos, Lisboa
  • J. Pinto Viana Assistente Graduado de Neurologia, Serviço de Neurologia, Hospital de Santo António dos Capuchos, Lisboa

Keywords:

neuromuscular junction, myasthenia gravis, Eaton-Lambert syndrome, botulism

Abstract

The authors describe the anatomy, the neurochemistry of the neuromuscular junction, the classification of the different clinical entities, as well as the most frequently encountered diseases found in adults. The pathophysiology, clinical picture, differential diagnosis and therapeutic management of myasthenia gravis, the most commonly occurring acquired auto-imune disorder of neuromuscular transmission is reviewed, the Eaton-Lambert syndrome and botulism.

Downloads

Download data is not yet available.

References

Engcl GA. The Neuromuscular Junction in Engel GA, Franzini­ Armstrong C (eds) Myology, McGraw-Hill, New York 1994; J · 261-287.

Kuppler SW, Yoshikami D. The number of transmitter molecules in the quantun: An estimate from iontophoretic apphcation of acetylcholine at the neuromuscular juntion. J Phisiol I 975; 251: 465-482.

Mieledi R, MolenaarPC, Polar RL. Electrophisiological and chemical determination of acetylcholine release at the frog neuromuscular juntion. J Phisiol 1983; 334: 245-254.

Myasthenia Gravis and Episodic forms of Muscular Weakness m Adams RD; Victor M (eds), Principies of Neurology, 5th ed1t1on, McGraw-Hill, New York 1993:1252-1270.

Oosterhuis HJ. Myasthenia gravis and other myasthenic syndromes in Swash M; Oxbury (eds), Clinical Neurology, Churchill Livingstone, New York 1991;2: 1368-1394.

Hopkins L. Autoimmune Myasthenia and Myasthenic Syndrome in AAN Annual Courses and Workshops, San Francisco, 1996.

Drachman D. Myasthenia Gravis in lsselbacher, Braunwald, Wilson, Martin, Fauci, Kasper (eds), Harrison's Principies of Internai Medicine, 13th edition, McGraw-Hill 1994; 2393-2396.

Oostherhuis H, Kuks J. Myasthenia Gravis and Myasthenic Syndromes. Curr Opin Neurol Neurosurg 1992; 5: 638-644.

Eymard B, Berrih-Aknin S. Rôle du Timus dans la Physiopathologie de la Myasthenie. Rev Neuro! 1995; 151: 6-15.

Steck A. Antibodies in the Neurology Clinic. Neurology 1990; 40: 1489-1492.

Kuks J, Limburg P, Horst G, et al. Antibodies to Skeletal Muscle in Myasthenia Gravis. Part 1. Diagnostic Value for the Detection of Timoma. J Neurol Sei 1993; 119: 183-188.

Kuks J, Limburg P, Horst G, Oostherhuis H. Antibodies to Skeletal Muscle in Myasthenia Gravis. Part 2. Prevalence in non­ Thymoma Patients. J Neurol Sei 1993; 120: 78-81.

Kuks J, Limburg P, Horst G, Oostherhuis H. Antibodies to Skeletal Muscle in Myasthenia Gravis. Part.3. Relation With Clinicai Course and Therapy J Neuro! Sei 1993; 120: 168-173.

Engel A. Acquired Autoimmune Myasthenia Gravis: Disturbances of Neuromuscular Transmission in Engel GA, Franzini-Armstrong C (eds) Myology, vol 2, McGraw-Hill, New York 1994: 1769- 1797.

Kupersmith M, Moster M, Bhuiyan S, Warren F, Weinberg H. Beneficial effects of Corticosteroids on Ocular Myasthenia Gravis. Arch Neurol 1996; 53: 802-804.

Kuntzer T, Steck AJ, Fiorini E, Mirimanoff RO, Regli F. Syndrme Myasthénique de Lambert-Eaton: Aspects physiopathologiques et modalités thérapeutiques. Rev Neurol (Paris) 1991; 147: 819-824.

O'Neill J, Murray NM, Newsom-Davis J. The lambert-Eaton Myasthenic Syndrome: Review of 50 cases. Brain 1988; 111:

-596.

Abrutyn E. Botulism in lsselbacher, Braunwald, Wilson, Martin, Fauci, Kasper (eds), Harrison's Principies of Internai Medicine, 131• edition, McGraw-Hill 1994: 635-636.

Additional Files

Published

1999-06-30

How to Cite

1.
Relvas R, Gonçalves M, Pinto Viana J. Myasthenia gravis and myasthenic syndromes. RPMI [Internet]. 1999 Jun. 30 [cited 2024 May 17];6(2):128-33. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2056

Issue

Section

Review Articles

Most read articles by the same author(s)