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Int J Obstet Anesth. 2007 Oct;16(4):379-82. Epub 2007 Aug 10.

Undiagnosed myasthenia gravis masquerading as eclampsia.

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  • 1Department of Anesthesiology, Drexel University College of Medicine, Philadelphia, PA, USA. JM67@Drexel.edu

Abstract

This case describes an apparently healthy 21-year-old parturient who presented at term with a prolapsed cord requiring immediate cesarean section. She experienced postoperative seizures. After a presumptive diagnosis of eclampsia, magnesium sulfate was given. During a complicated postoperative course, ventilatory failure necessitating multiple intubations eventually led to a new diagnosis of myasthenia gravis. This report describes how the signs and symptoms of myasthenia gravis may mimic post-partum eclampsia as well as worsen the side effects of magnesium therapy.

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