Skip to main content

Thymus-related Myasthenia Gravis. Multimodal Therapy and Follow-up

  • Chapter
Book cover Thymus Gland Pathology

Abstract

Over the last 30 years Myasthenia Gravis (MG) has become amenable to successful treatment, primarily from the remarkable advances in our understanding of the biology of neuromuscular transmission and of pathogenic processes underlying the disorder [15]. With treatment, today, most patients can expect to lead normal or nearly normal lives. Some cases of MG may go into remission temporarily, and muscle weakness may disappear so that medications can be discontinued.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Grob D, Brunner N, Namba T, Pagala M (2008) Lifetime course of myasthenia gravis. Muscle Nerve 37:141–149

    Article  PubMed  Google Scholar 

  2. Conti-Fine BM, Milani M, Kaminsk HJ (2006) Myasthenia gravis: Past, present, and future. J Clin Invest 116:2843–2854

    Article  PubMed  CAS  Google Scholar 

  3. Hirsch NP (2007) Neuromuscular junction in health and disease. Br J Anaesth 99:132–138

    Article  PubMed  CAS  Google Scholar 

  4. Mahadeva B, Phillips LH, Juel VC (2008) Autoimmune disorders of neuromuscular transmission. Semin Neurol 28:212–227

    Article  PubMed  Google Scholar 

  5. Juel VC, Massey JM (2007) Myasthenia gravis. Orphannet J Rare Dis 2:44

    Article  Google Scholar 

  6. Keesey JC (2004) A history of treatments for myasthenia gravis. Semin Neurol 24:5–16

    Article  PubMed  Google Scholar 

  7. Pascuzzi RM (1994) The history of myasthenia gravis. Neurol Clin 12:231–242

    PubMed  CAS  Google Scholar 

  8. Hughes T (2005) The early history of myasthenia gravis. Neuromuscul Disord 15:878–886

    Article  PubMed  Google Scholar 

  9. Jaretzki A, Barohn RJ, Ernstoff RM et al (2000) Myasthenia gravis: Recommendations for clinical research standards. Ann Thorac Surg 70:327–334

    Article  PubMed  Google Scholar 

  10. Benatar M (2006) A systematic review of diagnostic studies in myasthenia gravis. Neuromusc Dis 16:459–467

    Article  PubMed  Google Scholar 

  11. Richman DP, Agius MA (2003) Treatment principles in the management of autoimmune Myasthenia Gravis. Ann NY Acad Sci 998:457–472

    Article  PubMed  CAS  Google Scholar 

  12. Hilton-Jones D, Palace J (2005) The management of myasthenia gravis. Pract Neurol 5:18–27

    Article  Google Scholar 

  13. Skeie GO, Aposolski S, Evoli A et al (2006) Guidelines for the treatment of autoimmune neuromuscular transmission disorders. Eur J Neur 13:691–699

    Article  CAS  Google Scholar 

  14. Hilton-Jones D (2007) When the patient fails to respond to treatment: myasthenia gravis. Pract Neurol 7:405–411

    Article  PubMed  CAS  Google Scholar 

  15. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/myasthenia_gravis/myasthenia_gravis.htm, http://www.myasthenia.org/

    Google Scholar 

  16. Mendiratta MM, Kuntzer T, Pandey S (2008) Anticholinesterase treatment for myasthenia gravis (Protocol). Cochrane Databases of Systematic Reviews, Issue 1

    Google Scholar 

  17. Schneider-Gold C, Gajdos P, Tojka KV, Hohlfeld RR (2005) Corticosteroids for myasthenia gravis. Cochrane Databases of Systematic Reviews, Issue 2

    Google Scholar 

  18. Gajdos P, Chevret S, Toyka K (2002) Plasma exchange for myasthenia gravis (review). Cochrane Databases of Systematic Reviews, Issue 1

    Google Scholar 

  19. Gajdos P, Tranchant C, Clair B et al (2005) Treatment of myasthenia gravis exacerbation with intravenous immunoglobulin. A randomized double-blind clinical trial. Arch Neurol 62:1689–1693

    Article  PubMed  Google Scholar 

  20. Gajdos P, Chevret S, Toyka K (2006) Intravenous immunoglobulin for myasthenia gravis (review). Cochrane Databases of Systematic Reviews, Issue 1

    Google Scholar 

  21. Gronseth GS, Barohn RJ (2000) Practice parameter: Thymectomy for autoimmune myasthenia gravis (an evidence based review). Neurology 55:7–15

    PubMed  CAS  Google Scholar 

  22. Shahrizaila N, Pacheco OA, Vidal DG et al (2005) Thymectomy in myasthenia gravis: Comparison of outcome in Santiago, Cuba and Nottingham, UK. J Neurol 252:1262–1266

    Article  PubMed  CAS  Google Scholar 

  23. Hart IK, Sathasivam S, Sharshar T (2007) Immunosuppresive agents for myasthenia gravis. Cochrane Databases of Systematic Reviews, Issue 4

    Google Scholar 

  24. Ciafaloni E, Massey JM, Tucker-Lipscomb B, Sanders DB (2001) Mycophenolate mofetil for myasthenia gravis: An open-label pilot study. Neurology 56:97–99

    PubMed  CAS  Google Scholar 

  25. Meriggioli MN, Ciafaloni E, Al-Hayk KA et al (2003) Mycophenolate mofetil for myasthenia gravis. An analysis of efficacy, safety and tolerability. Neurology 61:1438–1440

    PubMed  CAS  Google Scholar 

  26. Kakoulidou M, Bjelak S, Pirskanen R, Lefvert AK (2007) A clinical and immunological study of myasthenia gravis treated with infliximab. Acta Neurol Scand 115:279–283

    Article  PubMed  CAS  Google Scholar 

  27. Hoff JM, Daltveit AK, Gilhus NE (2007) Myasthenia gravis in pregnancy and birth: Identifying risk factors, optimising care. Eur J Neurol 14:38–43

    Article  PubMed  CAS  Google Scholar 

  28. Agius MA (2000) Treatment of ocular myasthenia with corticosteroids. Arch Neurol 57:750–751

    Article  PubMed  CAS  Google Scholar 

  29. Kaminski HJ, Daroff R (2000) Treatment of ocular myasthenia. Steroid only when compelled. Arch Neurol 57:752–753

    Article  PubMed  CAS  Google Scholar 

  30. Benatar M, Kaminski H (2006) Medical and surgical treatment for ocular myasthenia. Cochrane Databases of Systematic Reviews, Issue 1

    Google Scholar 

  31. Benatar M, Kaminski HJ (2007) Evidence report: The medical treatment of ocular myasthenia (an evidencebased review). Neurology 68:2144–2149

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Italia

About this chapter

Cite this chapter

Gentile, R., Capone, L., Schoenhuber, R. (2008). Thymus-related Myasthenia Gravis. Multimodal Therapy and Follow-up. In: Lavini, C., Moran, C.A., Morandi, U., Schoenhuber, R. (eds) Thymus Gland Pathology. Springer, Milano. https://doi.org/10.1007/978-88-470-0828-1_29

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-0828-1_29

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0827-4

  • Online ISBN: 978-88-470-0828-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics