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Artikel: Study on the clinical and electrophysiological characteristics of nerve function in myasthenia gravis patients in Vietnam.

Anh Pham, Tho Kieu / Van Pham, Phuong / Dinh Le, Tung / Thanh Nguyen, Binh / Kien Nguyen, Trung / Thanh Tran, Tam Thai / Hai Nguyen, Sam Phan / Van Le, Minh

SAGE open medicine

2024  Band 12, Seite(n) 20503121241229591

Abstract: Background: In Vietnam, there is limited research on the role of nerve conduction in myasthenia gravis and its association with clinical features.: Objective: This study aims to describe the electrophysiological features in patients with myasthenia ... ...

Abstract Background: In Vietnam, there is limited research on the role of nerve conduction in myasthenia gravis and its association with clinical features.
Objective: This study aims to describe the electrophysiological features in patients with myasthenia gravis.
Methods: This descriptive study was conducted from September 2019 to December 2021. The study included 33 myasthenia gravis patients who sought medical consultation or received inpatient treatment during this period. The Myasthenia Gravis Foundation of America classifies myasthenia gravis into five groups: I, IIa, IIb, IIIa, IIIb, IVa, IVb, and V. Notably, Group I involves pure ocular weakness, whereas Group a primarily impacts limb and axial muscles, and Group b mainly affects bulbar and respiratory muscles.
Results: The study revealed that motor and sensory nerve conduction in the upper and lower limbs were within normal limits for the patient group under evaluation. Repetitive nerve stimulation testing at a frequency of 3 Hz showed positive results in 66.7% of myasthenia gravis patients. Myasthenia gravis patients displayed distinct clinical symptoms, with ptosis being the most common (87.9%). Myasthenia Gravis Foundation of America classification indicated the highest proportion in subgroup IIa (24.2%), with myasthenia gravis predominating in limb and axial muscles (Group a) observed in 51.5% of cases. Needle electromyography showed no abnormalities in myasthenia gravis patients. There was an association between acetylcholine receptor antibody titers and the results of the 3 Hz repetitive nerve stimulation test in myasthenia gravis patients, with a significance of
Conclusion: Nerve conduction studies should be performed in patients with suspected neuromuscular disorders to aid in differential diagnosis and definitive diagnosis of myasthenia gravis.
Sprache Englisch
Erscheinungsdatum 2024-03-25
Erscheinungsland England
Dokumenttyp Journal Article
ZDB-ID 2735399-0
ISSN 2050-3121
ISSN 2050-3121
DOI 10.1177/20503121241229591
Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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