What is Myasthenia Gravis

BNCmjtDCUAAdLsT.jpg largeMyasthenia Gravis (MG) is one of the possible diseases I am being tested for by my new neurologist. I completely understand why he thinks it’s a good fit. Not only would MG explain a number of my symptoms, my understanding is that it also has the interesting if dubious honor of being caused by a mutation in the same chromosome as the one that causes Ehlers-Danlos Syndrome. After extensive research and the strong ancestral evidence behind me, I think I am a better candidate for the EDS diagnosis, but I’m going to go through all the testing to be sure. As promised, here is a look at the rare and debilitating neuro-muscular disease myasthenia gravis.

According to the National Institute of Neurological Disorders at the NIH, MG is a chronic autoimmune neuro-muscular disease characterized by varying degrees of weakness of the skeletal (voluntary) muscles of the body. The hallmark of myasthenia gravis is muscle weakness that increases during periods of activity and improves after periods of rest. Certain muscles such as those that control eye and eyelid movement, facial expression, chewing, talking, and swallowing are often, but not always, involved in the disorder. The muscles that control breathing and neck and limb movements may also be affected.

Myasthenia gravis is caused by a defect in the transmission of nerve impulses to muscles. It occurs when normal communication between the nerve and muscle is interrupted at the neuromuscular junction—the place where nerve cells connect with the muscles they control. Normally when impulses travel down the nerve, the nerve endings release a neurotransmitter substance called acetylcholine. Acetylcholine travels from the neuromuscular junction and binds to acetylcholine receptors which are activated and generate a muscle contraction.

In myasthenia gravis, antibodies block, alter, or destroy the receptors for acetylcholine at the neuromuscular junction, which prevents the muscle contraction from occurring. These antibodies are produced by the body’s own immune system. Myasthenia gravis is an autoimmune disease because the immune system—which normally protects the body from foreign organisms—mistakenly attacks itself.

Although myasthenia gravis may affect any voluntary muscle, muscles that control eye and eyelid movement, facial expression, and swallowing are most frequently affected. The onset of the disorder may be sudden and symptoms often are not immediately recognized as myasthenia gravis.

In most cases, the first noticeable symptom is weakness of the eye muscles. In others, difficulty in swallowing and slurred speech may be the first signs. The degree of muscle weakness involved in myasthenia gravis varies greatly among individuals, ranging from a localized form limited to eye muscles (ocular myasthenia), to a severe or generalized form in which many muscles—sometimes including those that control breathing—are affected. Symptoms, which vary in type and severity, may include a drooping of one or both eyelids (ptosis), blurred or double vision (diplopia) due to weakness of the muscles that control eye movements, unstable or waddling gait, a change in facial expression, difficulty in swallowing, shortness of breath, impaired speech (dysarthria), and weakness in the arms, hands, fingers, legs, and neck.

EMG and muscle biopsy are often used for diagnosis along with blood tests to determine if the immune system is manufacturing the necessary antibodies. I am halfway there and so far it doesn’t appear to be a match, for all that my symptoms line up. It does however sound very much like a chronic illness population I would like to support here at Disability Depot, so I’ll be trying to seek out and share more information on it regularly whether it becomes my diagnosis or not because of course we committed to supporting all invisible illnesses here.

For more information on this disorder including prognosis, treatments, and research from the NINDS, click here. You can also find more resources at the Myasthenia Gravis Foundation of America

 

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6 thoughts on “What is Myasthenia Gravis

  1. If you do have MG, I hope they know enough about it to be able to help you. Which is my hope and prayer for anyone who finds that they have something OTHER than CFS to explain their symptoms.

    Many diseases have effective or palliative treatments – and at least you know (if the diagnosis is done right and is correct).

    I can’t wish you do – but I always hope for ‘treatable,’ rather than, “Sorry! We don’t know what you have, what caused it, or how to treat it. Have a good life!”

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  2. Yeah. It’s not like I want any of these debilitating, incurable and rare diseases, but I’m sure you know where I’m coming from when I say that no matter how bad it is, if they hand me a verifiable diagnosis that comes with a range of pre-packaged treatment plans I’ll be bordering on “thrilled.” I doubt it will happen, as I am 99.9% certain I have EDS with comorbid CFS and of course FM. I’d lay money on it I’m so sure and there’s not a single treatment developed for any of it. But there are things known about EDS that are helpful and I am making big headway with the holistics, so now that I’m getting my head out of my ass, I feel oddly hopeful anyway….let’s hope it’s not just an unheard of CFS cycle, serotonin or her sister dopamine playing a mean trick on me!

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  3. Thank you for reaching out and offering support. That’s very kind! As it turns out, my MG testing was negative, so ultimately we ruled it out. I likely have EDS or hereditary-a tryptasemia, the only two possibilities left that fit. I hope you’re doing well. Best wishes and happy new year!

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