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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.43 no.3 São Paulo Sept. 1985

http://dx.doi.org/10.1590/S0004-282X1985000300012 

Miastenia gravis infantil: relato de caso diagnosticado clinicamente

 

Infantile myasthenia gravis: report of a case clinically diagnosed

 

 

J. Rodrigo LopesI; F. A. Silveira FonteneleII

INeurocirurgião. Hospital Infantil Albert Sabin
IIMédico Residente. Hospital Infantil Albert Sabin

 

 


RESUMO

Registro de caso de miastenia infantil (forma congênita), em criança com 16 meses de idade. Ênfase ao diagnóstico diferencial das várias formas de miastenia na infância é dada durante a discussão do caso. O diagnóstico baseou-se na resposta imediata a teste com Neostigmina, seguido de terapêutica satisfatória com Mestinon.


SUMMARY

A rare case of infantile myasthenia gravis (congenital type) is reported. The child was 16 months old at the time of the diagnosis, although she presented signs suggestive of the disease since two months earlier. The diagnosis was based solely upon clinical criteria, including immediate response to a therapeutic test with Neostigmine, followed by excellent response to treatment with Mestinon. A review of the different types of myasthenia gravis in infancy is made, with emphasis on the clinical criteria for differential diagnosis of these cases.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. ANANDAM, R.; SULEKHA, C. & RAMAN, T. - Infantile myasthenia gravis. Indian Pediatrics 18:670, 1981.         [ Links ]

2. BÉGUÉ, P.; DEL, BONO, G.P.; BINET, J.P. & LASFARGUES, G. - Myasthénie grave juvénile et thymectomie. Arch. fr. Pediatr. 37:259, 1980.         [ Links ]

3. ROBERTSON, W.C.Jr.; CHUN, R.W.M. & KORNGUTH, J.E. - Familial infantile myasthenia. Arch. Neurol. 37:117, 1980.         [ Links ]

4. RODRIGUEZ, M.; GÓMEZ, M.R.; HOWARD, F.M. & TAYLOR, W.F. - Myasthenia gravis in children: long-term follow-up. Ann. Neurol. 13:504, 1983.         [ Links ]

5. SEYBOLD, M.E. & LINDSTROM J.M. - Myasthenia gravis in infancy. Neurology 31:476, 1981.         [ Links ]

6. YALABURGI, S.B. & MOMPATI, D.O. - Myasthenia gravis in a 4-year-old girl. South African med. J. 61:262, 1982.         [ Links ]

 

 

Trabalho realizado no Hospital Infantil Albert Sabin.
Hospital Infantil Albert Sabin - Rua Tertuliano Sales, 544. 60.000, Fortaleza, CE - Brasil.

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