Myasthenia Gravis Foundations & Support The facts and details you need to know about Myasthenia Gravis If you feel that you are experiencing any of the symptoms listed, please consult with your doctor for further medical attention. More information and support can be found on the organization websites listed below. Australian Myasthenia Gravis Association http://www.myasthenia.org.au/html/diagnos is.htm Myasthenia Gravis Association – KC http://mgakc.org/ Myasthenia Gravis Foundation of America http://www.myasthenia.org/Home.aspx Group 2A Meghan Cassady Ron Harder Shannon Hulsing Scott Kramer Susie Xue Symptoms, Diagnosis & Treatment information inside! Myasthenia Gravis What is Myasthenia Gravis? MG is an autoimmune disorder characterized by antibodymediated destruction of acetylcholine receptors in the neuromuscular junction. It is unclear what triggers this autoimmune response but abnormal T-lymphocyte function is thought to be the mechanism. About 75% of people with MG have some sort of thymic abnormality. About 10% of infants born to mothers with MG develop neonatal MG due to placental transfer of the acetylcholine receptor antibody. Symptoms spontaneously resolve within a few months post birth in many cases. Lambert-Eaton myasthenic syndrome is a disease that develops in association with neoplasms, specifically small cell carcinoma of the lung. This syndrome is also thought to be an autoimmune process. Symptoms: - - Impaired Breathing Impaired chewing & swallowing Difficulty climbing stairs, lifting objects, or coming from sit to stand Impaired talking Drooping head or eyelids Fatigue Double vision Facial muscle involvement Hoarseness Trouble maintaining steady gaze Drooping eyelids is a common symptom of MG Diagnosis - Blood tests looking for Ach antibodies Electro-diagnostic testing Tensilon test CT scan, Chest X-Ray or MRI of thymus Treatment There is no known cure for MG, but there are effective treatments to control the symptoms. The primary goal of treatment is to prevent respiratory problems because the swallowing, breathing, and eye muscles are primarily affected by this condition. Medications include anticholinesterage agents, corticosteroids, and immunosuppressant agents. Other treatment options include plasmapheresis, thymectomy and physical therapy. While MG is a rare childhood disease, there are 3 types; congenital MG, transient neonatal MG and juvenile MG. Neonatal MG last for only a few weeks whereas congenital and juvenile MG are life-long diseases. Most children present with weakness and difficulty with breathing or droopy eyelids. Feeding difficulties will also present in childhood forms of MG. Symptoms can differ for each individual case.