Schroeter, Michael, Thayssen, Gunther and Kaiser, Julia (2018). Myasthenia gravis - Exacerbation and Crisis. Aktuelle Neurol., 45 (4). S. 271 - 278. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-9428
Full text not available from this repository.Abstract
Myasthenic exacerbation and myasthenic crisis are highly critical incidences in myasthenia gravis. To this day, myasthenic crisis is associated with a lethality of 2 - 3%. In this paper, we review ways on how to avoid myasthenic exacerbation and crisis, elaborate on red flags and suggest ways to establish highly active therapy in time. This includes the reasonable use of cholinesterase inhibitors, immunoadsorption or plasma exchange, as well as immunoglobulins and steroids. Immunosuppressive agents and monoclonal antibody therapy add to the therapeutic options. Intensive care of mysthenic patients includes the management of dysphagia, and delirium. Importantly, the peri-operative management of patients undergoing thymectomy and weaning are specific challenges in the treatment of myasthenic patients in the ICU. Establishing timely and systematic immunosuppression and treating myasthenic patients in specialized outpatient centres help to avoid repetitive exacerbations and crises.
Item Type: | Journal Article | ||||||||||||||||
Creators: |
|
||||||||||||||||
URN: | urn:nbn:de:hbz:38-188231 | ||||||||||||||||
DOI: | 10.1055/s-0043-118475 | ||||||||||||||||
Journal or Publication Title: | Aktuelle Neurol. | ||||||||||||||||
Volume: | 45 | ||||||||||||||||
Number: | 4 | ||||||||||||||||
Page Range: | S. 271 - 278 | ||||||||||||||||
Date: | 2018 | ||||||||||||||||
Publisher: | GEORG THIEME VERLAG KG | ||||||||||||||||
Place of Publication: | STUTTGART | ||||||||||||||||
ISSN: | 1438-9428 | ||||||||||||||||
Language: | German | ||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||
Subjects: | no entry | ||||||||||||||||
Uncontrolled Keywords: |
|
||||||||||||||||
Refereed: | Yes | ||||||||||||||||
URI: | http://kups.ub.uni-koeln.de/id/eprint/18823 |
Downloads
Downloads per month over past year
Altmetric
Export
Actions (login required)
View Item |