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Acute inspiratory stridor: a presentation of myasthenia gravis

Published online by Cambridge University Press:  29 June 2007

Mohammad Abdul Matin
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tullamore General Hospital, Republic of Ireland.
Khurshid Alam*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tullamore General Hospital, Republic of Ireland.
Kieran O'Driscoll
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tullamore General Hospital, Republic of Ireland.
P. J. Murphy
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tullamore General Hospital, Republic of Ireland.
*
Address for correspondence: Khurshid Alam, F.R.C.S.(Ed), Department of ENT/Head and Neck Surgery, Tullamore General Hospital, Co. Offaly, Republic of Ireland. Fax: 00353 506 46145

Abstract

We present a rare presentation of myasthenia gravis as acute inspiratory stridor in a 16-year-old girl. Prompt diagnosis and medical treatment avoided the need for tracheostomy. Although an uncommon cause, myasthenia gravis should be included in the differential daignosis of stridor.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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References

Calcaterra, T. C., Stern, F., Herrmann, C. Jr., Mulder, D. G. (1972) The Otolaryngologist's role in myasthenia gravis. Transactions of the American Academy of Ophthalmology and Otolaryngology 76: 308312.Google ScholarPubMed
CoIp., C., Kriplani, L., Nussbaum, M. (1980) Vocal cord paralysis in myasthenia gravis following anaesthesia. Chest 77: 218220.Google Scholar
Davidson, S. P., McDonald, T. J., Wolfe, M. E. (1997) Swollen tongue: A presentation of myasthenia gravis. Otolaryngology – Head and Neck Surgery 116: 244246.CrossRefGoogle Scholar
Dhillon, R. S., Brookes, G. B. (1984) Myasthenia gravis in otolaryngological practice. Clinical Otolaryngology 9: 2734.CrossRefGoogle ScholarPubMed
Fairley, J. W., Hughes, M. (1992) Acute stridor due to bilateral vocal fold paralysis as a presenting sign of myasthenia gravis. Journal of Laryngology and Otology 106: 737738.CrossRefGoogle ScholarPubMed
Foulks, C. J. (1981) Myasthenia gravis presenting as laryngeal stridor after exposure to chlorine gas. Southern Medical Journal 74: 14231424.CrossRefGoogle ScholarPubMed
Friedman, S., Goffin, F. B. (1966) Abductor vocal cord weakness in myasthenia gravis. Report of a case. Laryngoscope 76: 15201523.CrossRefGoogle ScholarPubMed
Garfinkle, T. J., Kimmelman, C. P. (1982) Neurologic disorders: amyotrophic lateral sclerosis, myasthenia gravis, multiple sclerosis, and polio-myelitis. American Journal of Otolaryngology 3: 204212.CrossRefGoogle Scholar
Hanson, J. A., Lueck, C. J., Thomas, D. J. (1996) Myasthenia gravis presenting with stndor. Thorax 51: 108109.CrossRefGoogle Scholar
Job, A., Raman, R., Gnanamuthu, C. (1992) Laryngeal stridor in myasthenia gravis. Journal of Laryngology and Otology 106: 633634.CrossRefGoogle ScholarPubMed
Lloyd, J. M., Mitchell, R. G. (1988) Myasthenia gravis as a cause of facial pain. Oral Surgery Oral Medicine Oral Pathology 66: 4546.CrossRefGoogle ScholarPubMed
Neal, G. D., Clarke, L. R. (1987) Neuromuscular disorders. Otolaryngologic Clinics of North America 20: 195201.CrossRefGoogle ScholarPubMed
Schmidt-Nowara, W. W., Marder, E. J., Feil, P. A. (1984) Respiratory failure in myasthenia gravis due to vocal cord paresis. Archives of Neurology 41: 567568.CrossRefGoogle ScholarPubMed
Steinman, L., Mantegazza, R. (1990) Prospects for specific immunotherapy in myasthenia gravis. FASEB Journal 4: 27262731.CrossRefGoogle ScholarPubMed