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Erschienen in: Wiener klinische Wochenschrift 9-10/2017

01.05.2017 | case report

A patient with myasthenia gravis and a large arachnoid cyst – report of a case

verfasst von: Mira Bucuk, MD, Ph.D, Iva Gasparovic, MD, Ph.D, Ivan Sonnenschein, MD, M.Sc., Olivio Perkovic, MD, Ph.D

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 9-10/2017

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Summary

Myasthenia gravis is a chronic autoimmune disease characterized by weakening of voluntary muscles during the day and a marked restitution of function during the night and after rest. The symptoms may worsen over days or weeks, sometimes even in a few hours, and are usually well controlled by appropriate therapy. Arachnoid cysts are congenital or acquired deformities of the arachnoid membrane and are usually too small to cause distinct clinical symptomatology. We describe a case of a 76-year-old myasthenia gravis patient with an arachnoid cyst. To the best of our knowledge this is the first reported case of these two comorbidities together.
Literatur
1.
Zurück zum Zitat Nacu A, Andersen JB, Lisnic V, Owe JF, Gilhus NE. Complicating autoimmune diseases in myasthenia gravis: a review. Autoimmunity. 2015;27(6):1–7. Nacu A, Andersen JB, Lisnic V, Owe JF, Gilhus NE. Complicating autoimmune diseases in myasthenia gravis: a review. Autoimmunity. 2015;27(6):1–7.
2.
Zurück zum Zitat Mao ZF, Yang LX, Mo XA, et al. Frequency of autoimmune diseases in myasthenia gravis: a systematic review. Int J Neurosci. 2011;121(3):121–9.CrossRefPubMed Mao ZF, Yang LX, Mo XA, et al. Frequency of autoimmune diseases in myasthenia gravis: a systematic review. Int J Neurosci. 2011;121(3):121–9.CrossRefPubMed
3.
Zurück zum Zitat Isbister CM, Mackenzie PJ, Anderson D, Wade NK, Oger J. Co-occurrence of multiple sclerosis and myasthenia gravis in British Columbia. Mult Scler. 2003;9(6):550–3.CrossRefPubMed Isbister CM, Mackenzie PJ, Anderson D, Wade NK, Oger J. Co-occurrence of multiple sclerosis and myasthenia gravis in British Columbia. Mult Scler. 2003;9(6):550–3.CrossRefPubMed
4.
Zurück zum Zitat Somer H, Müller K, Kinnunen E. Myasthenia gravis associated with multiple sclerosis. Epidemiological survey and immunological findings. J Neurol Sci. 1989;89(1):37–48.CrossRefPubMed Somer H, Müller K, Kinnunen E. Myasthenia gravis associated with multiple sclerosis. Epidemiological survey and immunological findings. J Neurol Sci. 1989;89(1):37–48.CrossRefPubMed
5.
Zurück zum Zitat Furukawa Y, Yoshikawa H, Yamada M. Neuromyelitis optica associated with myasthenia gravis: characteristic phenotype in Japanese population. Eur J Neurol. 2006;13(6):655–8.CrossRefPubMed Furukawa Y, Yoshikawa H, Yamada M. Neuromyelitis optica associated with myasthenia gravis: characteristic phenotype in Japanese population. Eur J Neurol. 2006;13(6):655–8.CrossRefPubMed
6.
Zurück zum Zitat Kay CS, Scola RH, Lorenzoni PJ, Jarius S, Arruda WO, Werneck LC. NMO-IgG positive neuromyelitis optica in a patient with myasthenia gravis but no thymectomy. J Neurol Sci. 2008;275(1–2):148–50.CrossRefPubMed Kay CS, Scola RH, Lorenzoni PJ, Jarius S, Arruda WO, Werneck LC. NMO-IgG positive neuromyelitis optica in a patient with myasthenia gravis but no thymectomy. J Neurol Sci. 2008;275(1–2):148–50.CrossRefPubMed
7.
Zurück zum Zitat Wang JYI, Pan J, Luo BY, Zhang YY. Temporal coincidence of myasthenia gravis and Guillain Barré syndrome associated with Hashimoto thyroiditis. Neurol Sci. 2011;32(3):515–7.CrossRefPubMed Wang JYI, Pan J, Luo BY, Zhang YY. Temporal coincidence of myasthenia gravis and Guillain Barré syndrome associated with Hashimoto thyroiditis. Neurol Sci. 2011;32(3):515–7.CrossRefPubMed
8.
Zurück zum Zitat Zhang J, Niu S, Wang Y, Hu W. Myasthenia gravis and Guillain-Barré cooccurrence syndrome. Am J Emerg Med. 2013;31(8):1264–7.CrossRefPubMed Zhang J, Niu S, Wang Y, Hu W. Myasthenia gravis and Guillain-Barré cooccurrence syndrome. Am J Emerg Med. 2013;31(8):1264–7.CrossRefPubMed
9.
Zurück zum Zitat Kung SL, Su JM, Tsai SJ, Lu TM, Chen CM. Concurrent Guillain-Barré syndrome and myasthenia gravis: the first case in Taiwan. Acta Neurol Taiwan. 2009;18(3):193–7.PubMed Kung SL, Su JM, Tsai SJ, Lu TM, Chen CM. Concurrent Guillain-Barré syndrome and myasthenia gravis: the first case in Taiwan. Acta Neurol Taiwan. 2009;18(3):193–7.PubMed
10.
Zurück zum Zitat Oh SJ, Sher E. MG and LEMS overlap syndrome: case report with electrophysiological and immunological evidence. Clin Neurophysiol. 2005;116(5):1167–71.CrossRefPubMed Oh SJ, Sher E. MG and LEMS overlap syndrome: case report with electrophysiological and immunological evidence. Clin Neurophysiol. 2005;116(5):1167–71.CrossRefPubMed
11.
Zurück zum Zitat Kung SL, Su JM, Tsai SJ, Lu ZM. Concurrent Guillain-Barré syndrome and myasthenia gravis: the first case in Taiwan. Acta Neurol Taiwan. 2009;18(3):193–7.PubMed Kung SL, Su JM, Tsai SJ, Lu ZM. Concurrent Guillain-Barré syndrome and myasthenia gravis: the first case in Taiwan. Acta Neurol Taiwan. 2009;18(3):193–7.PubMed
12.
Zurück zum Zitat Hsieh MY, Chan OW, Lin JJ, et al. Combined Guillain-Barré syndrome and myasthenia gravis. Brain Dev. 2013;35(9):865–9.CrossRefPubMed Hsieh MY, Chan OW, Lin JJ, et al. Combined Guillain-Barré syndrome and myasthenia gravis. Brain Dev. 2013;35(9):865–9.CrossRefPubMed
13.
Zurück zum Zitat Lau KK, Goh KJ, Lee HC, Chan YT, Tan CT. The co-occurrence of serologically proven myasthenia gravis and Miller Fisher/Guillain Barré overlap syndrome: a case report. J Neurol Sci. 2009;276(1–2):187–8.CrossRefPubMed Lau KK, Goh KJ, Lee HC, Chan YT, Tan CT. The co-occurrence of serologically proven myasthenia gravis and Miller Fisher/Guillain Barré overlap syndrome: a case report. J Neurol Sci. 2009;276(1–2):187–8.CrossRefPubMed
14.
Zurück zum Zitat Kim JA, Lim YM, Jang EH, Kim KK. A patient with coexisting myasthenia gravis and Lambert-Eaton myasthenic syndrome. J Clin Neurol. 2012;8(3):235–7.CrossRefPubMedPubMedCentral Kim JA, Lim YM, Jang EH, Kim KK. A patient with coexisting myasthenia gravis and Lambert-Eaton myasthenic syndrome. J Clin Neurol. 2012;8(3):235–7.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Ekmekci O, Karasoy H, Bademkiran F, Akkus DE, Yuceyar N. Myasthenia gravis and thymomacoexisting with myotonic dystrophy type 1. Neuromuscul Disord. 2014;24(1):40–2.CrossRefPubMed Ekmekci O, Karasoy H, Bademkiran F, Akkus DE, Yuceyar N. Myasthenia gravis and thymomacoexisting with myotonic dystrophy type 1. Neuromuscul Disord. 2014;24(1):40–2.CrossRefPubMed
16.
Zurück zum Zitat Fasano A, Evoli A, Piano C, Tonali PA, Bentivoglio AR. Myasthenia gravis: an unrecognized cause of head drop in Parkinson’s disease. Parkinsonism Relat Disord. 2008;14(2):164–5.CrossRefPubMed Fasano A, Evoli A, Piano C, Tonali PA, Bentivoglio AR. Myasthenia gravis: an unrecognized cause of head drop in Parkinson’s disease. Parkinsonism Relat Disord. 2008;14(2):164–5.CrossRefPubMed
17.
Zurück zum Zitat Zis P, Argiriadou V, Temperikidis PP. Parkinson’s disease associated with myasthenia gravis and rheumatoid arthritis. Neurol Sci. 2014;35(5):797–9.CrossRefPubMed Zis P, Argiriadou V, Temperikidis PP. Parkinson’s disease associated with myasthenia gravis and rheumatoid arthritis. Neurol Sci. 2014;35(5):797–9.CrossRefPubMed
18.
Zurück zum Zitat Mulder DW, Lambert EH, Eaton LM. Myasthenic syndrome in patients with amyotrophic lateral sclerosis. Neurology. 1959;9:627–31.CrossRefPubMed Mulder DW, Lambert EH, Eaton LM. Myasthenic syndrome in patients with amyotrophic lateral sclerosis. Neurology. 1959;9:627–31.CrossRefPubMed
19.
Zurück zum Zitat Naik KR, Saroja AO, Mahajan M. Unusual occurrence of amyotrophic lateral sclerosis in myasthenia gravis. Amyotroph Lateral Scler. 2012;13(5):477–8.CrossRefPubMed Naik KR, Saroja AO, Mahajan M. Unusual occurrence of amyotrophic lateral sclerosis in myasthenia gravis. Amyotroph Lateral Scler. 2012;13(5):477–8.CrossRefPubMed
20.
Zurück zum Zitat Turner MR, Goldacre R, Ramagopalan S, Talbot K, Goldacre MJ. Autoimmune disease preceding amyotrophic lateral sclerosis: an epidemiologic study. Neurology. 2013;81(14):1222–5.CrossRefPubMedPubMedCentral Turner MR, Goldacre R, Ramagopalan S, Talbot K, Goldacre MJ. Autoimmune disease preceding amyotrophic lateral sclerosis: an epidemiologic study. Neurology. 2013;81(14):1222–5.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Helland CA, Lund-Johansen M, Wester K. Location, sidedness, and sex distribution of intracranial arachoid cysts in a population-based sample. J Neurosurg. 2010;113(5):934–9.CrossRefPubMed Helland CA, Lund-Johansen M, Wester K. Location, sidedness, and sex distribution of intracranial arachoid cysts in a population-based sample. J Neurosurg. 2010;113(5):934–9.CrossRefPubMed
Metadaten
Titel
A patient with myasthenia gravis and a large arachnoid cyst – report of a case
verfasst von
Mira Bucuk, MD, Ph.D
Iva Gasparovic, MD, Ph.D
Ivan Sonnenschein, MD, M.Sc.
Olivio Perkovic, MD, Ph.D
Publikationsdatum
01.05.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 9-10/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-017-1177-z

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