Choices and Challenges With Treatment of Myasthenia Gravis in Pregnancy: A Systematic Review

被引：2

作者：

Kumar, Lakshya ^{[1
]}

Kachhadia, Meet Popatbhai ^{[1
]}

Kaur, Jashanpreet ^{[2
]}

Patel, Harshkumar ^{[1
]}

Noor, Khutaija ^{[3
]}

Gohel, Rushi G. ^{[1
]}

Kaur, Paramjeet ^{[4
]}

Raiyani, Siddharth ^{[1
]}

Gohel, Vatsal A. ^{[5
]}

Vasavada, Advait M. ^{[6
,7
]}

机构：

[1] Pandit Dindayal Upadhyay PDU Med Coll, Internal Med, Rajkot, India

[2] Mata Gujri Mem Med Coll, Internal Med, Kishanganj, India

[3] Shadan Inst Med Sci, Internal Med, Hyderabad, Pakistan

[4] Guru Gobind Singh Med Coll, Internal Med, Faridkot, India

[5] Karaganda Med Univ, Internal Med, Karaganda, Kazakhstan

[6] M P Shah Med Coll, Internal Med, Jamnagar, India

[7] Calif Inst Behav Neurosci & Psychol, Internal Med, Fairfield, CT USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 07期

关键词：

during pregnancy; pregnancy counseling; pregnancy; highrisk pregnancy; neuromuscular junction; disorders; myasthenia gravis (mg) in pregnancy; myasthenia gravis (mg); INCREASED RISK; MANAGEMENT; GUIDELINES; DELIVERY; OUTCOMES; MOTHERS; UPDATE; SERIES; ONSET; WOMEN;

D O I：

10.7759/cureus.42772

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Myasthenia gravis (MG) is an autoimmune disease affecting young women in their second and third decades, coinciding with their reproductive years. We aim to explore the choices and challenges in the treatment of MG in pregnancy. Cochrane, PubMed, Google Scholar, and Embase were the four databases systematically searched for studies with patients reporting pregnancy outcomes for women with MG during pregnancy using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) technique. Quality assessment was done using the Joanna Briggs Institute critical tool (JBI, Adelaide, Australia) for methodological quality. From 2000 to 2023, 40 studies from database search results were considered. There is a substantial risk of complications with MG, especially if it appears during pregnancy. In particular, widespread weakness is a cause of severe, life-threatening disorders, but several treatment options are available.

引用

页数：15

共 69 条

[1] An update on myasthenic crisis
Ahmed S.
Kirmani J.F.
Janjua N.
Alkawi A.
Khatri I.
Yahia A.M.
Souyah N.
Qureshi A.I.
[J]. Current Treatment Options in Neurology, 2005, 7 (2) : 129 - 141
[2] Myasthenia gravis and pregnancy: impact and approach
Alfaro Paredes, Katherinne
Aguilar Ydiaquez, Claudia
Aguirre Flores, Rosita
Schulz Caceres, Hans
[J]. REVISTA DE NEUROLOGIA, 2022, 75 (05) : 117 - 122
[3] Myasthenia Gravis and Pregnancy: Toronto Specialty Center Experience
Alharbi, Mohammed
Menon, Deepak
Barnett, Carolina
Katzberg, Hans
Sermer, Mathew
Bril, Vera
[J]. CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 2021, 48 (06) : 767 - 771
[4] Myasthenia gravis and pregnancy: anaesthetic management - a series of cases
Almeida, Carlos
Coutinho, Ester
Moreira, Daniela
Santos, Ernestina
Aguiar, Jose
[J]. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2010, 27 (11) : 985 - 990
[5] Population, Intervention, Comparison, Outcomes and Study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews
Amir-Behghadami, Mehrdad
Janati, Ali
[J]. EMERGENCY MEDICINE JOURNAL, 2020, 37 (06) : 387 - 387
[6] Myasthenia Gravis in pregnancy: Systematic review and case series
Banner, Harrison
Niles, Kirsten M.
Ryu, Michelle
Sermer, Mathew
Bril, Vera
Murphy, Kellie E.
[J]. OBSTETRIC MEDICINE, 2022, 15 (02) : 108 - 117
[7] Management of myasthenia gravis during pregnancy
Bansal, Ramandeep
Goyal, Manoj Kumar
Modi, Manish
[J]. INDIAN JOURNAL OF PHARMACOLOGY, 2018, 50 (06) : 302 - 308
[8] Bardhan M, 2023, NEONATAL MYASTHENIA
[9] Benjilany A, 2021, ROM J NEUROL, V20, P241, DOI [10.37897/RJN.2021.2.19, DOI 10.37897/RJN.2021.2.19]
[10] Berlit Sebastian, 2012, Case Rep Obstet Gynecol, V2012, P736024, DOI 10.1155/2012/736024

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