Pathogenesis of Myasthenia Gravis

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According to Medilexicon's medical dictionary: Myasthenia gravis is " a disorder of neuromuscular transmission marked by fluctuating weakness and fatigue of certain voluntary muscles, including those innervated by brainstem motor nuclei; caused by a marked reduction in the number of acetylcholine receptors in the postsynaptic membrane of the neuromuscular junction, resulting from an autoimmune mechanism."(8) Myasthenia gravis comes from the Greek and Latin words meaning "grave muscular weakness."(1) Myasthenia gravis is an autoimmune disease that causes weakness in the voluntary muscle of the body. This muscle weakness usually occurs during periods of activity and improves after periods of rest. Certain muscles such as the ones controlling eye movement, chewing, talking, swallowing, facial expression are often involved in this disease. Besides, Myasthenia gravis may also affects the muscles that control neck and limb movement and breathing. This disease is not fatal or contagious and also does not affect life expectancy(1,2). Myasthenia gravis affects both genders and can occur at any ages(1). However, it most commonly affects women under the age of 40 and men over the age of 60(2,8). It is also not an inherited disease and will not be transmitted from one to another. Normally, nerve system and muscles work together to carry out body movement. There are two types of muscles which are involuntary muscles and voluntary muscles. For example, muscles found in intestines, blood vessels are involuntary muscles. They will work on their own without receiving signal from the brain. Those muscles which work after receiving the signals from the brain are voluntary muscles. Brain transmits nerves impulses to the muscles via nervous system. ... ... middle of paper ... .... 4. Hughes BW1, Moro De Casillas ML, Kaminski HJ.. Pathophysiology of myasthenia gravis. Semin Neurol 2004 ; 24(1): 21-30. http://www.ncbi.nlm.nih.gov/pubmed/15229789 (accessed 25 March 2014). 5. Muscular Dystrophy Association. What causes myasthenia gravis (MG)?. http://mda.org/disease/myasthenia-gravis/causes-inheritance (accessed 22 March 2014). 6. National Institute of Neurological Disorders and Stroke. Myasthenia Gravis Foundation of America. What Is Myasthenia Gravis?.(2013) [accessed 23 March 2014]. 7. Mayo Clinic. Myasthenia gravis.(2013) [accessed 23 March 2014]. 8. Christian Nordqvist . What Is Myasthenia Gravis? What Causes Myasthenia Gravis?', Neurology / Neuroscience News. 22 February 2010 : .

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