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급격히 진행하는 양안의 안근 마비로 발현한 중증근무력증 환자

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Affiliated Author(s)
이형임정근김현아
Alternative Author(s)
Lee, HyungLim, Jeong GeunKim, Hyun Ah
Journal Title
Keimyung Medical Journal
Issued Date
2013
Keyword
Acute ophthalmoplegiaMyasthenia gravis
Abstract
Myathenia gravis is an autoimmune neuromuscular disease leading to fluctuating muscle weakness and fatigue. Symptoms are caused by circulating antiboties that block acetylcholine receptor at the post synaptic neuromuscular juction, inhibiting the excitatory effects of the neurotransmitter acetylcholine on receptor. At early stage of myasthenia gravis, ptosis and diplopia are common symptoms. The ophthalmoplegia is a rare symptom of the early stage of myasthenia gravis. We described a 52-year-old female with myasthenia gravis, presenting with acute ophthalmoplegia. Within 3 weeks the patient was transferred to intensive care unit because of respiratory failure. Thus, we have to consider that acute ophthalmolegia can be the initial symptom of myasthenia gravis and disease course is rapidly deteriorated.
Alternative Title
Rapidly Evolving Bilateral Ophthalmoplegia as an Initial Manifestation of Myasthenia
Department
Dept. of Neurology(신경과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.32(2) : 205-208, 2013
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15620
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2013
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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