Case of the day

MYASTHENIA GRAVIS

60/M presented to ER with c/o Lower back pain , weakness of both lower limbs and unable to sleep since 3 days. ▪️H/o urinary retention present. ▪️ Clinically: power 3/5 all 4 limbs ,hyper-reflexia, clonus +,bladder distended. ▪️Known AchR positive Myasthenia Gravis on tab. Gravitor since Feb 2020 with good improvement in ptosis and muscle power . ▪️Previously admitted for Long segment intramedullary lesion over dorsal spinal cord . ▪️MRI Brain & MRI whole spine done as advised by neurologist. ▪️Treatment & further management according to MRI report??

(Edited)

2 Likes

LikeAnswersShare
Present complaints are related to buldging and desication of disc L4L5 Symptoms are aggravated as pt is c/o myasthenia gravis MRI showing brain changes are likely old and age related and to be evaluated Retention of urine as there is distended bladder likely due to MYASTHENIA/BPH and indentation of thecal sac
Thank you doctor
0

View 3 other replies

KNOWN MYSTHENIA GRAVIS ON RX PRESENT PROBLEM = LBP NO EVIDENCE OF SPINAL CORD COMPRESSION IN MRI PHYSIOTHERAPY ULTRASONIC RAYS LUMBER SPINAL TRACTION PREGABALIN 75 MG AT BED TIME USG KUBP + BLOOD PSA + URINE C& S RX FINESTRIDE 5 MG BED TIME ALTERNATE HOT & COLD APPLICATION SUPRAPUBIC REGION CATHERISATION SOS
Thank you doctor
0
Myasthenia gravis with local lumbosacral disc prolapsed l3 tos1 pressing nerve root may cause for retention left capsuloganglionic lesion infective or neoplastic investigate CSF core biopsy quadriplegia treat cause
Thank you doctor
0
Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
Thanks
0
MG like cranial involvement always aggrivate in old age in other neurophysiolovy. Here BPH is involved. Neurologists and Uro surgeion are the divht person eith authority.
Thank you doctor
0