Can myasthenia gravis affecting respiration be cured?

Written by Shi De Quan
Neurology
Updated on April 10, 2025
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Myasthenia gravis affecting respiration can be cured because myasthenia gravis can improve after treatments such as oral medication or plasmapheresis. Another possibility is myasthenia gravis concurrent with a myasthenic crisis, which has various forms, causing respiratory difficulties. At this point, symptomatic treatment is required, including the use of ventilators, intubation, and in severe cases, a tracheotomy. After the critical period on the ventilator passes, respiratory function can improve or the myasthenia can ameliorate.

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Written by Zhang Hui
Neurology
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Early symptoms of myasthenia gravis

Myasthenia gravis is an autoimmune disease of the nervous system that primarily affects the acetylcholine receptors on the postsynaptic membrane, causing muscle fatigue in patients. This can lead to general weakness throughout the body, double vision, and even progressive paralysis of the respiratory muscles, requiring active breathing assistance in severe cases. The early symptoms of myasthenia gravis mainly include: First, patients tend to fatigue easily, such as after exercise or labor, with a rapid decline in physical strength that only recovers after resting. Second, there may be ptosis, with patients unable to comfortably open their eyes, although this symptom can improve after resting or sleeping. As myasthenia gravis progresses into its later stages, there is a marked increase in overall weakness, necessitating treatment in a neurology department.

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Written by Tang Bo
Neurology
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Does myasthenia gravis require hospitalization?

Myasthenia gravis in its early stages requires hospital treatment. It is an autoimmune disease characterized by a post-synaptic membrane failure at the neuromuscular junction due to decreased acetylcholine. It generally manifests as skeletal muscle weakness, with symptoms often being lighter in the morning and more severe by evening, and includes easy fatigability. In such cases, even without a definitive diagnosis, hospitalization is essential for accurate diagnosis and treatment, which may involve steroids or pyridostigmine. Treatment must be directed by a doctor. Once the condition stabilizes, the patient can be discharged and continue with oral medication. However, if a myasthenic crisis or other critical conditions occur, immediate hospitalization is necessary to maintain vital signs, as these situations can be life-threatening.

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Written by Liu Hong Mei
Neurology
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Is myasthenia gravis an autoimmune disease?

Myasthenia gravis is an autoimmune disease that primarily affects the neuromuscular junction, leading to abnormalities in acetylcholine receptors. This can cause weakness in some or all skeletal muscles, which easily fatigues, particularly after activity or exertion, with symptoms worsening. Symptoms can be alleviated after rest or treatment with cholinesterase inhibitors. As an autoimmune disease, myasthenia gravis often co-occurs with other autoimmune disorders such as hyperthyroidism, thyroiditis, systemic lupus erythematosus, and rheumatoid arthritis. Symptoms of myasthenia gravis typically lessen in the morning and worsen after activity, showing a pattern of being lighter in the morning and heavier in the evening.

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Written by Zhang Hui
Neurology
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What is good to eat for myasthenia gravis?

Myasthenia gravis is an autoimmune disease of the nervous system that primarily affects the neuromuscular junction, leading to muscle weakness and post-exertional fatigue. Some patients may also experience clinical symptoms such as ptosis and diplopia. The main treatments include corticosteroids and immunosuppressants. Patients with myasthenia gravis should pay attention to their diet: First, consume plenty of fresh vegetables and fruits, which are rich in vitamins that can provide sufficient immunity to prevent certain complications. Second, eat foods high in B vitamins, such as animal liver, lean meat, and whole grains, which are beneficial for patients. Third, patients should also consume high-quality proteins, which provide ample nutrition and increase resistance, including items such as milk, beef, and fish.

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Written by Zhang Hui
Neurology
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How is myasthenia gravis diagnosed?

Myasthenia gravis is essentially an immunoreactive disease in neurology, primarily caused by immune dysfunction in the body, leading to the production of autoantibodies. These antibodies attack the acetylcholine receptors on the postsynaptic membrane, resulting in corresponding clinical symptoms such as ptosis, diplopia, and general fatigue. The examination of myasthenia gravis mainly includes the following aspects: first, the completion of the Tensilon test, and if the test is positive, myasthenia gravis should be considered; second, the examination should include repetitive nerve stimulation electromyography, and if there is a significant decrement in wave amplitude, this disease should be considered; third, relevant blood tests should be conducted, mainly to check for acetylcholine receptor antibodies, as positive results for these antibodies are important in supporting this diagnosis.