![]() For more information on congenital myasthenia gravis, please visit the category, Pediatric Ophthalmology under the article Congenital Myasthenic Syndromes. However, congenital MG is a rare, nonimmune inheritable disorder. Approximately 85% of patients presenting with only ocular signs and symptoms of MG will develop systemic MG within 2 years of presentation. Systemic MG affects the ocular muscles (often the presenting sign) and other voluntary muscles. ![]() Ocular MG affects only the ocular muscles. Smaller muscles tend to be affected first, larger muscles become affected as the disease progresses. MG affects voluntary muscles of the body, but the muscles and motor nerves are intact. Myasthenia Gravis (MG) is an autoimmune disease in which antibodies destroy neuromuscular connections resulting in muscle weakness and fatigability. Myasthenia Gravis ICD-9 code: without acute exacerbation 358.00 with acute exacerbation 358.01 Serum anti-Muscle-Specific Kinase Antibody Titer: Repetitive Nerve Stimulation (RNS) Testing:
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