Teramoto Koji, Kuwabara Masayoshi, Matsubara Yoshito
Second Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowa, Otsu, Japan.
Respiration. 2002;69(3):280-2. doi: 10.1159/000063636.
This report describes a female patient with myasthenia gravis who developed respiratory failure due to vocal cord paresis. The diagnosis was delayed due to the absence of other myasthenic symptoms (e.g. ptosis, muscle weakness and dysphagia). On direct laryngoscopy, her vocal cords were seen to be in the paramedian position and to move apart after the intravenous injection of edrophonium. The patient initially presented with ocular myasthenia and later returned with isolated respiratory failure. A review of the pertinent literature revealed few reports on myasthenia gravis presenting in this manner.
本报告描述了一名重症肌无力女性患者，该患者因声带麻痹而发生呼吸衰竭。由于缺乏其他重症肌无力症状（如眼睑下垂、肌肉无力和吞咽困难），诊断被延误。在直接喉镜检查中，可见她的声带处于旁正中位，静脉注射依酚氯铵后声带分开。该患者最初表现为眼肌型重症肌无力，后来复诊时出现单独的呼吸衰竭。对相关文献的回顾显示，以这种方式呈现的重症肌无力报告很少。
