Comorbidities and Long-Term Outcomes in a Cohort with Myasthenic Crisis: Experiences from a Tertiary Care Center.

Comorbidities Muscle-specific tyrosine kinase Myasthenia Gravis Myasthenic crisis Refractory Myasthenia Gravis Thymoma myasthenia gravis

Journal

Annals of Indian Academy of Neurology
ISSN: 0972-2327
Titre abrégé: Ann Indian Acad Neurol
Pays: India
ID NLM: 101273955

Informations de publication

Date de publication:
Historique:
received: 07 04 2019
revised: 26 06 2019
accepted: 30 06 2019
entrez: 19 11 2019
pubmed: 19 11 2019
medline: 19 11 2019
Statut: ppublish

Résumé

There is scarce literature regarding the clinical course, comorbidities and long-term outcomes after myasthenic crisis (MC). The natural history of myasthenia gravis (MG) in this subset remains uncertain. The study included a cohort admitted with MC (2007-2017) in a tertiary care hospital. The comorbidities, outcomes after discharge, and prognostic factors were analyzed. Sixty-two patients (89 episodes of MC) were included. Demographic data was comparable between the early- (<50 years) and late-onset (≥50 years) groups. Comorbidities included stress cardiomyopathy (14.5%), arrhythmias (6.4%), neuropathy (17.7%), pancytopenia (12.9%), encephalopathy (11.2%), neuromyotonia (4.8%), myelopathy (3.2%), and myositis (3.2%). Pulmonary embolism ( A comprehensive treatment approach in MC will translate to good short- and long-term outcomes. The main cornerstones of therapy will include (1) Identification of refractory MG with the implementation of phenotype-based therapy; (2) Addressing comorbidities including cardiac autonomic neuropathy, bulbar weakness, phrenic dysfunction; and (3) Meticulous tumor surveillance.

Identifiants

pubmed: 31736571
doi: 10.4103/aian.AIAN_197_19
pii: AIAN-22-464
pmc: PMC6839309
doi:

Types de publication

Journal Article

Langues

eng

Pagination

464-471

Informations de copyright

Copyright: © 2006 - 2019 Annals of Indian Academy of Neurology.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Ajith Sivadasan (A)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Mathew Alexander (M)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Sanjith Aaron (S)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Vivek Mathew (V)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Shalini Nair (S)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Karthik Muthusamy (K)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

A T Prabhakar (AT)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Rohit N Benjamin (RN)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Atif Shaikh (A)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Gideon Rynjah (G)

Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

Classifications MeSH