Is it myasthenia gravis if you can t open your eyes?

Myasthenia gravis is a disease that develops relatively slowly, such as the gradual development of clinical manifestations such as drooping eyelids and difficulty opening the eyes. If the eyes suddenly cannot be opened, then the possibility of myasthenia gravis is not very large, and it is necessary to pay attention to whether it is other diseases.

For example, some patients have aneurysms, if the aneurysm is enlarged, ruptured and bleeding, etc., it will lead to paralysis of the oculomotor nerve, the eyes can not be opened suddenly, and the pupils will also dilate, and there will be some clinical symptoms of abnormal eye movement.

In addition, there are some special types of cerebrovascular diseases, if they affect the oculomotor nerve nucleus, they may also suddenly have difficulty opening the eyes, and it is necessary to complete the MRI examination of the brain to clarify.

Sudden inability to open the eyes is not necessarily myasthenia gravis, and patients with myasthenia gravis often show symptoms such as bilateral eyelid lifting, which is not sudden, but progresses gradually. If the patient suddenly cannot open their eyes, there may be oculomotor palsy.

Patients with myasthenia gravis often feel soreness and discomfort in the eyes or limbs in the early stages of the disease, or blurred vision, fatigue is easily fatigued, and fatigue is aggravated by hot weather or menstrual cramps. As the disease progresses, skeletal muscles become significantly fatigued and weak, which is characterized by muscle weakness that worsens after exertion in the afternoon or evening and decreases after getting up or resting, a phenomenon called "morning light and twilight heaviness".

Ophthalmomy-type myasthenia gravis, can it be **?

Myasthenia gravis is a systemic disease, while ocular myasthenia gravis indicates that myasthenia gravis is only manifested in the eyes, and the main clinical manifestations are ptosis of the upper eyelids and the inability to lift the eyelids. Whether it can be ** related to the type of disease, the common cases are as follows:

Common type: myasthenia gravis** mainly relies on oral neostigmine drugs, which can control symptoms and achieve ** effect; Types of thymoma: some myasthenia gravis is related to thymoma, and patients need thymoma resection surgery, and most patients can**, **;

Type of injury: Partial myasthenia gravis may cause muscle or nerve damage, which is not possible and requires long-term oral medication**. If oral medications do not recover, surgery may be required**.

Usually, the drug can reach a stable state for about half a year, which is manifested as a stable eye condition, and ptosis correction surgery can be considered.

Therefore, there are differences in the effect of ocular myasthenia gravis in different types and stages, which can be achieved through drugs and surgery in the early stage, but cannot be completely developed at the corresponding stage.

Myasthenia gravis is a difficult but not incurable disease. There is considerable evidence that the earlier myasthenia gravis** develops, the better the outcome. Unfortunately, due to a long delay in diagnosis, many patients do not receive timely and effective treatment**, and eventually progress from ocular or mild systemic muscle weakness to severe systemic muscle weakness, and even develop dyspnea muscle weakness crisis.

This not only seriously affects the normal work and study of patients, reduces the quality of life, and even endangers the lives of patients.

<> the onset of myasthenia gravis is closely related to overexertion. Excessive use of eyes, working day and night, or life disorders due to running around and hard work, depleting qi and blood, declining physical fitness, and external evil taking advantage of the void to enter, resulting in aggravation of the disease. Therefore, during the ** process, the patient must have a regular daily routine, work and rest.

Only in this way can we cooperate with the drug** to achieve the best efficacy. Let's take a look at the causes of myasthenia gravis that do not heal for a long time. Myasthenia gravis healed:

Failure to realize that myasthenia gravis is a chronic disease, and it is a traditional Chinese medicine prescription that takes time to cooperate with the doctor's follow-up, and to control the condition, often due to the mentality of taking shortcuts and expecting to have a first-class method once and for all, resulting in many patients rushing to the doctor, spending a lot of money, and even going the wrong way.

Only by objectively understanding the characteristics and laws of myasthenia gravis and establishing a positive attitude can we well cooperate with the doctor's norms and avoid detours. Lack of understanding of the evolution of the disease. Myasthenia gravis evolves on its own, and medications** only provide temporary relief.

Myasthenia gravis is the mildest of all types of myasthenia gravis and is defined as extraocular muscle involvement, with drooping eyelids and eye motility disorders. There are often drooping eyelids that cover the pupils, affecting vision, and there is diplopia, the movement of the two eyes is difficult to be coaxial, and if the severe patient even has eye fixation, the movement of the eye in all directions is limited. Symptoms are mild in the morning and severe in the evening, mild when they wake up in the morning, and worsen in the afternoon after activity and exertion.

If there is a positive fatigue test on physical examination, symptoms of intramuscular neostigmine can be relieved for a short time, and then worsen again after 3 to 4 hours, which is called a positive neostigmine test. If the patient's ** is related to thymoma or other autoimmune diseases, chest CT examination is required to determine whether there is a thymus mass, improve the indicators related to immune inflammation, and rule out other immune inflammatory diseases. The main manifestations of patients with ophthalmoasthenic muscle weakness are skeletal muscle abnormalities and easy fatigue, which has a certain impact on the patient's life.

Opinions and suggestions: spleen and kidney yang deficiency type: drooping eyelids or weakness of limbs, or even general weakness, easy fatigue, cold extremities, soreness of waist and knees, frequent urination or nocturia, loose stools or incomplete grains, light tongue, tooth marks on the edges, thin white tongue coating, and thin pulse.

Ophthalmomyasthenia gravis is the mildest type of myasthenia gravis, which is mainly manifested by unilateral or bilateral eyelid drooping, double vision in both eyes, fluctuating symptoms and easy fatigue, light in the morning and heavy in the evening, aggravated after fatigue, and relieved after rest.

Myasthenia gravis is an autoimmune disease that affects the neuromuscular junction and can occur at any age, characterized primarily by muscle weakness and post-activity muscle fatigue, which can be improved with rest and cholinesterase inhibitors.

Ophthalmoasthenia gravis is caused by:

Mainly due to acetylcholine receptor antibody-mediated cellular immunity dependence, complement is involved in an acquired autoimmune disease that mainly accumulates to the postsynaptic membrane at the neuromuscular junction.

Analysis: Symptoms of myasthenia are confined to the extraocular muscles, and ocular myasthenia gravis can occur at any age, and the relative peak incidence is < 10-year-old children and 40-year-old men, >50% of MG patients start with ophthalmomy-type myasthenia gravis, of which 10%-20% can heal spontaneously, 20%-30% are always confined to extraocular muscles, and the remaining 50%-70%, the vast majority (>80%) may develop generalized myasthenia gravis within 2 years of onset For patients with ophthalmic myasthenia gravis, it is often due to the abnormality of autoimmune function, so the body will produce antibodies that attack its own cells, which can easily cause patients to droop the eyelids. As the disease progresses, these patients may develop weakness of the skeletal muscles of the limbs, and if they do, they need to be differentiated from other disorders.

Suggestions: The symptoms of muscle weakness are limited to the extraocular muscles, and ophthalmomy-type myasthenia gravis can start at any age, and the relative peak incidence is 40-year-old men, >50% of MG patients start with ocular myasthenia gravis, of which 10%-20% can be self-healing, 20%-30% are always confined to extraocular muscles, and the remaining 50%-70%, the vast majority (>80%) may develop generalized myasthenia gravis within 2 years of onset.