MYASTHENIA GRAVIS CRISIS: A CASE REPORT OF A MIDDLE - AGED INDIAN GENTLEMAN

Dr. Fahimuddin Syed*, Dr. Mohammed Nayeem, Dr. Wasim Shabbir, Dr. Zeyad Alrais, Dr. Laila Hassan Issa, Dr. Mohamed Foda Mohamed Hendi, Dr. Mohamed Said Ahmed Mostafa Eldelpshany, Ghaya Zeyad Alrais and Syed Masroor Mustafa

ABSTRACT

Myasthenia gravis (MG) is a chronic autoimmune neuromuscular disorder characterized by muscle weakness and fatigue. MG crisis, a life-threatening complication of MG, requires prompt recognition and intervention. We present the case of a 59-year-old Indian male who initially presented with generalized weakness and dizziness, progressing to respiratory failure type II requiring intubation. After extubation following initial intubation, patient developed a relapse of similar symptoms. Subsequent investigations and management led to the diagnosis of MG crisis, emphasizing the importance of timely neuro-consultation and intervention.

Keywords: Myasthenia gravis, MG crisis, respiratory acidosis, plasma exchange, acetylcholine receptor.