title: [Outcomes and treatment of myasthenic crisis].
abstract: OBJECTIVE
  The analysis of fatal outcomes of myasthenic crisis in patients with myasthenia.
  
  
  METHODS
  The data on 19 patients with myastheniccrisis admitted at the Moscow Regional Research and Clinical Institute («MONIKI») over 12 years (1997-2009) have been summarized.
  
  
  CONCLUSIONS
  There are more than 600 patients with myasthenia in the Moscow region, including 13% patients with onset after 60 years. Seventeen patients of 19 were in the intensive care unit. Total death occurred in 7 cases (36.6%). Myocardial infarction, bilateral confluent pneumonia and hemorrhagic pulmonary edema caused death. All patients had concomitant diseases: hypertension, myocardial changes, hyperglycemia and others. Steroids and plasmapheresis were used for treatment of myasthenic crisis. The authors believe that methods of treatment of myasthenic crisis that does not lead to complications in elderly age and are suitable for patients with concomitant diseases, who can't be treated with glucocorticoids and plasmapheresis, should be used in clinical neurology. Normal human intravenous immunoglobulin is recommended in these cases.
authors.affiliation: Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia.
authors.forename: S V
authors.initials: SV
authors.lastname: Kotov
authors.affiliation: Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia.
authors.forename: O P
authors.initials: OP
authors.lastname: Sidorova
mesh_terms: D000368:Aged; D005938:Glucocorticoids / Q000627:therapeutic use*; D006760:Hospitalization; D006801:Humans; D006943:Hyperglycemia; D007362:Intensive Care Units; D009031:Moscow; D018908:Muscle Weakness; D009157:Myasthenia Gravis / Q000150:complications / Q000628:therapy*; D009203:Myocardial Infarction; D009462:Neurology; D010956:Plasmapheresis; D011379:Prognosis; D013934:Thymectomy; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids