Myasthenia gravis is a medical condition that causes muscle weakness in the eyes, face, throat, neck, and limbs. For myasthenia gravis patients, it can be difficult to breathe, swallow, see, walk, and control various muscle groups. But, with medical assistance, these patients can receive a proper diagnosis and explore a wide range of myasthenia gravis treatment options.
Myasthenia Gravis Prognosis
A doctor may use a myasthenia gravis blood test, neurological examination, and other assessments to evaluate a patient. If the doctor believes their patient is coping with myasthenia gravis, a personalized treatment plan is developed.
Myasthenia Gravis Treatment
Common myasthenia gravis treatment options include:
1. Myasthenia Gravis Medications
Myasthenia gravis medications may help patients manage their symptoms. Medications used to treat myasthenia gravis include:
- Cholinesterase Inhibitors: Improve communication between nerves and muscles. Cholinesterase Inhibitors have been shown to enhance muscle contraction and strength; however, they may also cause diarrhea, nausea, and other side effects.
- Corticosteroids: Limit the production of antibodies that may contribute to myasthenia gravis symptoms. Corticosteroids may help myasthenia gravis patients temporarily relieve their symptoms, but prolonged use of these medications may cause weight gain, diabetes, and other long-term health issues.
- Immunosuppressants: Support the immune system. Myasthenia gravis patients may need to take immunosuppressants for several months before they notice the effects of these medications. Also, there are serious side effects associated with immunosuppressants, including liver or kidney damage and infection.
Medications may be used as a starting point for myasthenia gravis treatment. If medications are ineffective or cause side effects, additional treatment options may be required.
2. Intravenous (IV) Therapy
IV therapy may be used to provide short-term relief of myasthenia gravis symptoms. Some of the IV therapies available to myasthenia gravis patients include:
- Plasmapheresis: Removal of antibodies that block signals from the nerve endings to associated muscle receptor sites.
- Intravenous Immunoglobulin (IVIg): Addition of normal antibodies to the body.
- Monoclonal Antibody: The use of intravenous antibody medications for patients who did not respond to prior treatments.
3. Myasthenia Gravis Thymectomy
Myasthenia gravis thymectomy may be used to remove a tumor (thymoma) from the thymus gland. It can be performed as open or minimally invasive surgery. Additionally, video- and robot-assisted thymectomy may be completed.
Video-assisted thymectomy involves the use of a long, thin camera (endoscope) and small instruments to remove a thymoma. Robot-assisted thymectomy involves the removal of a thymoma with assistance from a robotic system that includes a camera and mechanical arms.
Which Is the Best Treatment for Myasthenia Gravis?
To treat myasthenia gravis, it is important to consult with an expert surgeon. In doing so, a patient can receive a full evaluation and custom treatment recommendation.
Dr. Babak Azizzadeh of The Facial Paralysis Institute is globally recognized for his facial plastic and reconstructive surgery and head and neck surgery expertise. He is available to assist patients who have been diagnosed with myasthenia gravis or are considering myasthenia treatment options. To learn more or to schedule a consultation with Dr. Azizzadeh, please contact us online or call us today at (310) 657-2203.
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