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Chapter 27 - Myasthenia Gravis in Pregnancy

from Section 4 - Neurological Disorders in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Andrea S. Parks  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

Your next patient is a new referral for consultation and transfer of care. The transfer note indicates she is a 28-year-old G1P0 with known myasthenia gravis (MG) who is at 12 weeks’ gestation by sonographic dating.

Keywords

Myasthenia gravisInvestigationsPyridostigmineCounselling, prenatalFetal sonographyAntepartum exacerbationCholinergic crisisMaternal risksDelivery managementTransient neonatal myasthenia
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 370 - 376
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Ciafaloni, E. Myasthenia gravis and congenital myasthenic syndromes. Continuum (Minneap Minn). 2019;25(6):1767–1784.Google Scholar
Hamel, J, Ciafaloni, E. An update: Myasthenia gravis and pregnancy. Neurol Clin. 2018; 36:355–365.CrossRefGoogle ScholarPubMed
Massey, JM, De Jesus-Acosta, C. Pregnancy and myasthenia gravis. Continuum (Minneap Minn). 2014;20(1):115–127.Google ScholarPubMed
Norwood, F, Dhanjal, M, Hill, M, et al. Myasthenia in pregnancy: best practice guidelines from a UK multispecialty working group. J Neurol Neurosurg Psychiatry. 2014; 85:538–543.CrossRefGoogle ScholarPubMed
Sanders, DB, Wolfe, GI, Benatar, M, et al. International consensus guidance for management of myasthenia gravis: executive summary. Neurology. 2016; 87:419–425.CrossRefGoogle ScholarPubMed
Varner, M. Myasthenia gravis and pregnancy. Clin Obstet Gynecol. 2013;56(2):372–381.CrossRefGoogle ScholarPubMed
Waters, J. Management of myasthenia gravis in pregnancy. Neurol Clin. 2019; 37:113–120.CrossRefGoogle ScholarPubMed

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