Discover and read the best of Twitter Threads about #myasthenia

Most recents (3)

#eyes becoming smaller in evenings could be a sign of #neurological illness

1. I was seeing the last patient, on what had been a busy Monday. While counselling the patient's attendant (aged 45), I noticed that her left eye was smaller than the right.

#MedTwitter #neurotwitter
2. On enquiry, she confirmed that her eyes were of equal size in mornings, but left eye became smaller as the day progressed. This was the case for the past 4-5 months. She had no other issues. This had been noted by her family members and friends too. An eye check up was normal.
3. I discussed with her that this could be a sign of #myasthenia gravis (MG) and asked for investigations. Repetitive nerve stimulation was normal. However, acetylcholine receptor antibody was high (8; normal value<0.25). The diagnosis of MG was confirmed. CT chest was normal.
Read 9 tweets
(1/10)
seit jahren hatten wir mal wieder eine patientin mit #Myasthenia gravis in der prä-med-ambulanz.

#Infotweet #Anästhesie #FOAM

myasthenia gravis setzt sich aus dem griechischen „mys“ (muskel) und „asthenia (schwäche) sowie dem lateinischen „gravis“ (schwer) zusammen.
(2/10)
MG ist eine nicht vererbbare autoimmunerkrankung bei der die signalübertragung zwischen nerven und muskeln gestört ist. genauer: eine störung an der motorischen endplatte der quergestreiften muskulatur. leitsympton ist eine belastungsabhängige, progrediente muskelschwäche https://dgn.org/leitlinien/...
(3/10)
ursächlich für die MG ist eine reduzierte anzahl funktionsfähiger rezeptoren, da der körper antikörper gegen strukturen der postsynaptischen membran der neuromuskulären endplatte bildet. in etwa 85% der fälle sind dies antikörper gegen nikotinerge acetylcholinrezeptoren. https://www.intechopen.com/...
Read 10 tweets
.@SarahbaxterSTM's argues that #fibromyalgia, #mecfs, #lupus, #depression, self-harming and #anorexia are caused by female ambition and fragility.

What's c. 1880 is new again.

thetimes.co.uk/article/kirsty…
This is just so silly. In the 19th century, there was a panic in the medical profession (and among social commentators) about women becoming ill with neurological and "nervous" conditions because they were overworking their brains/nerves, which were naturally weaker than men's.
This “fact” was used to bolster the argument in favor of stopping women's formal education after age 16 and most certainly not letting them enroll in university.
Read 26 tweets

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