Myasthenic crisis patients who require intensive care unit management.
The purpose of this report was to investigate predictive factors that necessitate intensive care in myasthenic crisis (MC). We retrospectively reviewed MC patients at our institution and compared ICU and ward management groups. Higher MG-ADL scale scores, non-ocular initial symptoms, infection-triggered findings, and higher MGFA classification were observed more frequently in the ICU group. In patients with these prognostic factors, better outcomes may be obtained with early institution of intensive care.
Department of Neurology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan. hideya5783@fc.kuh.kumamoto-u.ac.jp
Hideya
H
Sakaguchi
Satoshi
S
Yamashita
Teruyuki
T
Hirano
Makoto
M
Nakajima
En
E
Kimura
Yasushi
Y
Maeda
Makoto
M
Uchino
D000368:Aged; D000369:Aged, 80 and over; D019468:Disease Management; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000150:complications / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D012138:Respiratory Therapy; D012189:Retrospective Studies; D016896:Treatment Outcome