The clinical picture and diagnosis of the pharyngofacial form of myasthenia

In the clinic, 564 patients with the different forms of myasthenia were operated on. A pharyngo-facial form of myasthenia was revealed in 65 (11.5%) of them. There are the following clinical peculiarities of a pharyngo-facial form of myasthenia: involvement of the pharyngeal and facial muscles, impa...

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Bibliographic Details
Published inKlinicheskaia khirurgiia no. 9-10; p. 23
Main Authors Skripnichenko, D F, Peliukhovskiĭ, S V
Format Journal Article
LanguageRussian
Published Ukraine 1992
Subjects
Adult
Child
Facial Muscles
Female
Humans
Male
Myasthenia Gravis - classification
Myasthenia Gravis - diagnosis
Myasthenia Gravis - surgery
Pharyngeal Muscles
Thymectomy
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Summary:In the clinic, 564 patients with the different forms of myasthenia were operated on. A pharyngo-facial form of myasthenia was revealed in 65 (11.5%) of them. There are the following clinical peculiarities of a pharyngo-facial form of myasthenia: involvement of the pharyngeal and facial muscles, impaired phonation, jerky speech, sensation of the tongue heaviness. The direction of process generalization is commonly from the centre towards periphery, towards the skeletal muscles. Involvement of the muscles of the soft palate, epiglottis causes saliva and pharyngeal secret flowing into the bronchi which leads to asphyxia.