Myasthenia gravis presenting with dysphagia and postoperative ventilatory failure.
We report a case of myasthenia gravis presenting to the department of otolaryngology with acute dysphagia on two separate occasions over a one-year period. Diagnosis of myasthenia gravis was made when the patient developed ventilatory failure after his second general anaesthetic for rigid oesophagoscopy. Our patient required emergency transfer to the intensive therapy unit for ventilation. He improved after treatment with corticosteroids, anticholinesterase and immunosuppressive medications. Our case was unusual in that cricopharyngeal spasm causing dysphagia and significant aspiration was demonstrated by a barium swallow and this was completely resolved after treatment of the myasthenia gravis.
Haider-Ali
A M
AM
Department of Otolaryngology, West Glasgow Hospitals University NHS Trust, Gartnavel General Hospital, UK. AhmadEmadi@aol.com
MacGregor
F B
FB
Stewart
M
M
D000208:Acute Disease; D000768:Anesthesia, General; D000075202:Contraindications; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000209:etiology*; D004945:Esophagoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000150:complications* / Q000000981:diagnostic imaging; D009467:Neuromuscular Depolarizing Agents; D011859:Radiography; D012008:Recurrence; D012131:Respiratory Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology
D009467:Neuromuscular Depolarizing Agents