Myasthenia gravis diagnosis, myasthenia gravis test

Health Description
Health Consultation Description: How is myasthenia gravis diagnosed?


Expert Reply

Condition analysis:
Unfortunately, a delay in diagnosis of one or two years is not unusual in cases of myasthenia gravis. Because weakness is a common symptom of many other disorders, the diagnosis is often missed in people who experience mild weakness or in those individuals whose weakness is restricted to only a few muscles.

The first steps of diagnosing myasthenia gravis include a review of the individual's medical history, and physical and neurological examinations. The signs a physician must look for are impairment of eye movements or muscle weakness without any changes in the individual's ability to feel things. If the doctor suspects myasthenia gravis, several tests are available to confirm the diagnosis.

A special blood test can detect the presence of immune molecules or acetylcholine receptor antibodies. Most patients with myasthenia gravis have abnormally elevated levels of these antibodies. However, antibodies may not be detected in patients with only ocular forms of the disease.

Another test is called the edrophonium test. This approach requires the intravenous administration of edrophonium chloride or Tensilon(r), a drug that blocks the degradation (breakdown) of acetylcholine and temporarily increases the levels of acetylcholine at the neuromuscular junction. In people with myasthenia gravis involving the eye muscles, edrophonium chloride will briefly relieve weakness. Other methods to confirm the diagnosis include a version of nerve conduction study which tests for specific muscle fatigue by repetitive nerve stimulation. This test records weakening muscle responses when the nerves are repetitively stimulated. Repetitive stimulation of a nerve during a nerve conduction study may demonstrate decrements of the muscle action potential due to impaired nerve-to-muscle transmission.

A different test called single fiber electromyography (EMG), in which single muscle fibers are stimulated by electrical impulses, can also detect impaired nerve-to-muscle transmission. EMG measures the electrical potential of muscle cells. Muscle fibers in myasthenia gravis, as well as other neuromuscular disorders, do not respond as well to repeated electrical stimulation compared to muscles from normal individuals. Computed tomography (CT) may be used to identify an abnormal thymus gland or the presence of a thymoma.

Instructions:
Myasthenia Gravis Natural Treatment: A disorder affecting voluntary muscles and creation those weak is known as myasthenia gravis. Women below 40 years of age and men above 60 years of age are generally affected by myasthenia gravis. When nerve impulses are not properly transmitted to the muscles, then myasthenia gravis occurs.

Weakening of the muscles of the eyes and face, droopy eyelids, double vision and complexity while breathing and swallowing are some of the symptoms of myasthenia gravis. You can get rid of myasthenia gravis by following some Myasthenia Gravis Natural Treatment.

Take some raw garlic cloves and apply it on the affected areas. Rub well for at least 15 minutes. You can also add some garlic oil to a cup, take a cotton ball and soak it in the cup. Then use the cotton ball and massage the affected parts. Do this 2-3 times daily.

You can also crush some garlic cloves and add the powder to a cup of water. Then after boiling it well, steep it and then strain it. Drink 2-3 cups of it every day as it will help you to dispose of the pain connected with myasthenia gravis.



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 Key words:  Myasthenia gravis

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