Orvieto R, Levy T, Peleg D, Ben-Rafael Z
Department of Obstetrics and Gynecology, Golda Medical Center (Hasharon Hospital), Petah-Tiqva, Israel.
Med Hypotheses. 1994 Feb;42(2):129-30. doi: 10.1016/0306-9877(94)90088-4.
The exact mechanism for the development of neonatal myasthenia gravis is unclear, and the occurrence of neonatal myasthenia gravis cannot be predicted.
A case of normal duration of fetal forearm extention with return to flexion in response to vibroacoustic stimulation, and the pertinent details concerning neonatal myasthenia gravis and vibroacoustic stimulation test are described.
Inasmuch as fetal acoustic stimulation test results in a fetal reaction resembling the startle response of the newborn, we think that it will worthwhile to perform this test antenatally in the next encountered fetuses of myasthenic mothers in order to assess its role in the prediction of neonatal myasthenia gravis.
新生儿重症肌无力的确切发病机制尚不清楚,且无法预测新生儿重症肌无力的发生。
描述了一例胎儿前臂伸展时间正常,对声振刺激有屈曲反应的病例,以及有关新生儿重症肌无力和声振刺激试验的相关细节。
鉴于胎儿声刺激试验会引发类似新生儿惊跳反应的胎儿反应,我们认为对于下一次遇到的重症肌无力母亲的胎儿,有必要在产前进行该试验,以评估其在预测新生儿重症肌无力中的作用。