Portland, TN
A 38-year-old female asked:
how is myasthenia gravis diagnosed?
2 doctor answers • 3 doctors weighed in
Dr. Bennett Machanic answered
Neurology 52 years experience
Maybe tough, but : We order the following tests: anti-neuromuscular junctional antibody (and maybe anti-musk antibody), an EMG study using repetitive nerve stimulations to look for possible classical decriment patterns, cat scan of chest to see if there is large thymus, and perhaps a clinical tensilon test. That should for the most part confirm the diagnosis.
4946 viewsAnswered >2 years ago
Dr. Howard Pomeranz answered
Ophthalmology 28 years experience
Myasthenia: An intravenous injection called a tensilon test, blood testing for acetylcholine receptor antibodies, and an electrophysiological test called an electromyelogram can all be used to help make a diagnosis of myasthenia.
4918 viewsReviewed >2 years ago
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Similar questions
A 45-year-old member asked:
What is the treatment for myasthenia gravis?
2 doctor answers • 2 doctors weighed in
Dr. Djamchid Lotfi answered
Neurology 58 years experience
Complex Q: See a neurolgist the treatment can be medical (steroids, plasma exchange other immunosuppressives anticholinesterases) or surgical (removal of the thymus).
5822 viewsAnswered >2 years ago
A 43-year-old member asked:
What canworsen my myasthenia gravis symptoms?
1 doctor answer • 2 doctors weighed in
Dr. Nilofer Nisar answered
Neurology 39 years experience
Medications: Infections and medications can cause worionsening og mg. Medications like certain antibiotics, anesthetic agents, muscle relaxants, Botox injections etc. Decrease immune system related to multiple factors like lack of sleep, overexhaustion etc.
5798 viewsReviewed >2 years ago
A 37-year-old member asked:
What is dyemilinating disease & myasthenia gravis?
1 doctor answer • 2 doctors weighed in
Dr. Julian Bragg answered
Neurology 17 years experience
Nerve disease: In patients with myasthenia, the acetylcholine receptor that helps form the neuromuscular junction is destroyed by the immune system. This causes nerves to be unable to trigger muscle contraction, leading to fatigable weakness. In demyelinationg disease, the myelin insulation surrounding the nerve is attacked by the immune system, disrupting signal transmission.
5718 viewsReviewed >2 years ago
A 51-year-old member asked:
How do medications treat myasthenia gravis?
1 doctor answer • 1 doctor weighed in
Dr. Bennett Machanic answered
Neurology 52 years experience
Two ways: Some medications are designed to enhance the neuromuscular junction connection, and prolong presence of acetylcholine. Since myasthenia is an autoimmune disorder, steroids and other immune agents can address the underlying causation.
2875 viewsAnswered >2 years ago
A 43-year-old member asked:
What medications can aggravate myasthenia gravis?
1 doctor answer • 1 doctor weighed in
Dr. Bennett Machanic answered
Neurology 52 years experience
Comments: The best documented problems occur with many but not all -mycin antibiotics, and may be best to avoid Cipro, (ciprofloxacin) Ketek, Z-pak, but also most fluoroquinolones. Stay away from Botox, Quinine, and all beta-blockers.
1690 viewsAnswered >2 years ago
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Last updated Jun 19, 2015
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