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Myasthenic crisis probably triggered by local lidocaine infiltration unveiling generalized myasthenia gravis without extraocular muscle involvement.

作者信息

León-Ruiz M, Rízea C, Álvarez-Troncoso J, Quintana-Díaz M, Zmork-Martínez G, Benito-León J, Rodríguez-Pardo J

机构信息

Section of Clinical Neurophysiology, Department of Neurology, La Paz University Hospital, Madrid, Spain.

Systemic Autoimmune Diseases Unit, Department of Internal Medicine, La Paz University Hospital, Madrid, Spain.

出版信息

Neurol Perspect. 2025 Jul-Sep;5(3). doi: 10.1016/j.neurop.2025.100193. Epub 2025 Apr 2.

DOI:10.1016/j.neurop.2025.100193
PMID:40343048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12056550/
Abstract
摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/938e/12056550/b3433675ce36/nihms-2076562-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/938e/12056550/172e62d57ebd/nihms-2076562-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/938e/12056550/b3433675ce36/nihms-2076562-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/938e/12056550/172e62d57ebd/nihms-2076562-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/938e/12056550/b3433675ce36/nihms-2076562-f0002.jpg

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本文引用的文献

1
Guideline for the management of myasthenic syndromes.肌无力综合征管理指南。
Ther Adv Neurol Disord. 2023 Dec 26;16:17562864231213240. doi: 10.1177/17562864231213240. eCollection 2023.
2
Myasthenic crisis.肌无力危象。
Muscle Nerve. 2023 Jul;68(1):8-19. doi: 10.1002/mus.27832. Epub 2023 Apr 28.
3
Perioperative management of myasthenia gravis.重症肌无力的围手术期管理
BJA Educ. 2021 Nov;21(11):414-419. doi: 10.1016/j.bjae.2021.07.001. Epub 2021 Aug 19.
4
Drugs That Induce or Cause Deterioration of Myasthenia Gravis: An Update.诱发或导致重症肌无力病情恶化的药物：最新进展
J Clin Med. 2021 Apr 6;10(7):1537. doi: 10.3390/jcm10071537.
5
[Influence of different local anesthetics on atracurium neuromuscular blockade on rats].[不同局部麻醉药对大鼠阿曲库铵神经肌肉阻滞的影响]
Braz J Anesthesiol. 2020 May-Jun;70(3):220-224. doi: 10.1016/j.bjan.2020.01.004. Epub 2020 May 12.
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Myasthenia gravis.重症肌无力。
Nat Rev Dis Primers. 2019 May 2;5(1):30. doi: 10.1038/s41572-019-0079-y.
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Perioperative Management of Neurological Conditions.神经疾病的围手术期管理
Health Serv Insights. 2017 Jun 12;10:1178632917711942. doi: 10.1177/1178632917711942. eCollection 2017.
8
Reference values for jitter recorded by concentric needle electrodes in healthy controls: A multicenter study.健康对照者中同心针电极记录的肌纤维震颤参考值：一项多中心研究。
Muscle Nerve. 2016 Mar;53(3):351-62. doi: 10.1002/mus.24750. Epub 2015 Nov 13.
9
Mechanisms influencing the vasoactive effects of lidocaine in human skin.利多卡因对人体皮肤血管活性作用的影响机制。
Anaesthesia. 2007 Feb;62(2):146-50. doi: 10.1111/j.1365-2044.2006.04901.x.
10
Drugs and myasthenia gravis. An update.药物与重症肌无力。最新进展。
Arch Intern Med. 1997 Feb 24;157(4):399-408.