Childhood myasthenia: clinical subtypes and practical management
In recent years, understanding of the pathogenesis and clinical presentation of distinct myasthenia subtypes has increased significantly. This article reviews the clinical manifestations of autoimmune myasthenia gravis (including myasthenia associated with anti‐muscle‐specific kinase antibodies), oc...
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| Veröffentlicht in: | Developmental medicine and child neurology 2007-08, Vol.49 (8), p.629-635 |
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| container_title | Developmental medicine and child neurology |
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| creator | Parr, J R Jayawant, S |
| description | In recent years, understanding of the pathogenesis and clinical presentation of distinct myasthenia subtypes has increased significantly. This article reviews the clinical manifestations of autoimmune myasthenia gravis (including myasthenia associated with anti‐muscle‐specific kinase antibodies), ocular myasthenia, and antibody negative myasthenia. The following treatments are examined: cholinesterase inhibitors, immunosuppressants, and thymectomy. Inherited congenital myasthenic syndromes (CMS) are now increasingly recognized, and most commonly present during childhood. This article outlines the presynaptic, synaptic basal lamina‐associated, and postsynaptic classification of CMS and the clinical presentation and aetiology of individual syndromes. Relevant investigations and treatment options (including the role of pyridostigmine, 3,4‐diaminopyridine, fluoxetine, and ephedrine) are discussed. |
| doi_str_mv | 10.1111/j.1469-8749.2007.00629.x |
| format | Article |
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| source | MEDLINE; Access via Wiley Online Library; Wiley Online Library (Open Access Collection) |
| subjects | Adults Comparative Analysis Diagnostic Tests Eye Movements Functional Behavioral Assessment Genetics Humans Myasthenia Gravis - classification Myasthenia Gravis - therapy Pediatrics Practice Guidelines as Topic Young Children |
| title | Childhood myasthenia: clinical subtypes and practical management |
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