A retrospective study of complications of therapeutic plasma exchange in myasthenia.

Abstract:

INTRODUCTION:Venous access for therapeutic plasma exchange (TPE) in myasthenia gravis (MG) can be achieved by central venous catheters (CVC) or peripheral veins (PV), and the preferred method varies among providers. We evaluated our institutional experience with TPE venous access method and complications. METHODS:We reviewed all TPE-treated MG patients (2005-2010) through blinded chart review. TPE complications were categorized as serious or minor. Serious complications ended the procedure and/or were potentially life-threatening. RESULTS:A total of 134 MG patients received 230 TPE courses; 56% were outpatient procedures. Whenever feasible, TPE was performed by PV access, which was successful in 75% of courses. Over 90% in both groups improved after TPE. Compared with PV access, CVCs were associated with more total (68% vs. 35%) and serious complications (41% vs. 4%), including 2 deaths. CONCLUSIONS:PV access for TPE can be used successfully in most MG patients and may reduce morbidity of the procedure.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Guptill JT,Oakley D,Kuchibhatla M,Guidon AC,Hobson-Webb LD,Massey JM,Sanders DB,Juel VC

doi

10.1002/mus.23508

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

170-6

issue

2

eissn

0148-639X

issn

1097-4598

journal_volume

47

pub_type

杂志文章
  • Neuromuscular transmission defect caused by carbamazepine.

    abstract::The clinical effect of carbamazepine (CBZ) on neuromuscular transmission is described in two children who presented in coma with diffuse hypotonia and areflexia following CBZ overdose. Repetitive nerve stimulation (RNS) showed a decremental response only at high-frequency stimulation. With supportive care, the patient...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199909)22:9<1293::aid-mus2

    authors: Zaidat OO,Kaminski HJ,Berenson F,Katirji B

    更新日期:1999-09-01 00:00:00

  • Impact of denervation-induced muscle atrophy on housekeeping gene expression in mice.

    abstract:INTRODUCTION:Immobilization induced by experimental denervation leads to rapid and progressive alterations in structural and biochemical properties of skeletal muscle. Real-time reverse transcription-polymerase chain reaction (RT-PCR) is a popular method of elucidating the molecular mechanisms involved in muscle atroph...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24310

    authors: Nakao R,Yamamoto S,Yasumoto Y,Kadota K,Oishi K

    更新日期:2015-02-01 00:00:00

  • Congenital cervical spinal atrophy.

    abstract::Three children presented at birth with axial hypotonia and symmetrical flaccid paresis limited to the upper extremities, and involving proximal and distal muscle groups. At birth, palmar flexion creases were poorly developed, and the hand muscles were atrophic. These clinical features, the muscle biopsy findings, and ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880040205

    authors: Darwish H,Sarnat H,Archer C,Brownell K,Kotagal S

    更新日期:1981-03-01 00:00:00

  • Measurement of intramuscular fat by muscle echo intensity.

    abstract:INTRODUCTION:The aim of this study was to compare ultrasound echo intensity (EI) with high-resolution T1 -weighted MRI and to establish calibration equations to estimate percent intramuscular fat from EI. METHODS:Thirty-one participants underwent both ultrasound and MRI testing of 4 muscles: rectus femoris (RF); bicep...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24656

    authors: Young HJ,Jenkins NT,Zhao Q,Mccully KK

    更新日期:2015-12-01 00:00:00

  • Bone density and alendronate effects in Duchenne muscular dystrophy patients.

    abstract:INTRODUCTION:Patients with DMD have low bone mineral density (BMD) and are at high risk for fractures. We examined changes in BMD and the effects of alendronate in DMD patients treated at our institution in the last decade. METHODS:Retrospective cohort study of 39 DMD patients. RESULTS:Patients had screening dual ene...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.23948

    authors: Houston C,Mathews K,Shibli-Rahhal A

    更新日期:2014-04-01 00:00:00

  • Comparison of distal sympathetic with vagal function in diabetic neuropathy.

    abstract::We measured distal sympathetic and vagal function in 73 consecutive patients with diabetic neuropathy seen at the Mayo Autonomic Reflex Laboratory. Postganglionic sympathetic failure measured proximally within the foot occurred as commonly as vagal failure (58% and 55%, respectively) and occurred much more frequently ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880090703

    authors: Low PA,Zimmerman BR,Dyck PJ

    更新日期:1986-09-01 00:00:00

  • Anticipation of autosomal dominant progressive external ophthalmoplegia with hypogonadism.

    abstract::A large Swedish family with members affected by progressive external ophthalmoplegia with hypogonadism were followed-up and reviewed. Hypogonadism included delayed sexual maturation, primary amenorrhea, early menopause, and testicular atrophy. Cataracts, cerebellar ataxia, neuropathy, hypoacusia, pes cavus, tremor, pa...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-4598(199612)19:12<1561::AID-MUS

    authors: Melberg A,Arnell H,Dahl N,Stålberg E,Raininko R,Oldfors A,Bakall B,Lundberg PO,Holme E

    更新日期:1996-12-01 00:00:00

  • Interaction of thyroid state and denervation on skeletal myosin heavy chain expression.

    abstract::The goal of this study was to examine the effects of altered thyroid state and denervation (Den) on skeletal myosin heavy chain (MHC) expression in the plantaris and soleus muscles. Rats were subjected to unilateral denervation (Den) and randomly assigned to one of three groups: (1) euthyroid; (2) hyperthyroid; (3) an...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199712)20:12<1487::aid-mus

    authors: Haddad F,Arnold C,Zeng M,Baldwin K

    更新日期:1997-12-01 00:00:00

  • Transcriptional deficits in oxidative phosphorylation with statin myopathy.

    abstract:INTRODUCTION:Hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors, or statins, are widely used drugs for hyperlipidemia and are generally well-tolerated, but the can produce skeletal muscle toxicity. The molecular mechanisms driving statin myopathy are unknown. We investigated the effects of statin treatment...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.22081

    authors: Hubal MJ,Reich KA,De Biase A,Bilbie C,Clarkson PM,Hoffman EP,Thompson PD

    更新日期:2011-09-01 00:00:00

  • Function of thick and thin nerve fibers in carpal tunnel syndrome before and after surgical treatment.

    abstract::Present studies evaluated the functions of thick and thin nerve fibers in carpal tunnel syndrome (CTS) to determine whether data of thin nerve fibers can add further information to the diagnosis of CTS. Measurements were performed in 22 patients and 16 age-matched control subjects. Motor and sensory nerve conduction, ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880180210

    authors: Lang E,Spitzer A,Pfannmüller D,Claus D,Handwerker HO,Neundörfer B

    更新日期:1995-02-01 00:00:00

  • Endocannabinoids and related lipids in serum from patients with amyotrophic lateral sclerosis.

    abstract:BACKGROUND:The goals of this study were to determine whether serum concentrations of endocannabinoids (eCB) and related lipids predict disease status in patients with amyotrophic lateral sclerosis (ALS) relative to healthy controls, and whether concentrations correlate with disease duration and severity. METHODS:Serum...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.27096

    authors: Carter GT,McLaughlin RJ,Cuttler C,Sauber GJ,Weeks DL,Hillard CJ,Weiss MD

    更新日期:2021-01-01 00:00:00

  • SEPs and CNS magnetic stimulation in syringomyelia.

    abstract::Somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) to transcranial and spinal stimulation from upper and lower limb muscles were elicited in 13 patients with syringomyelia. Seven had an associated Chiari type I anomaly. Diagnosis was confirmed by MRI. In 5 cases, SEPs and MEPs were performed bef...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880150904

    authors: Nogués MA,Pardal AM,Merello M,Miguel MA

    更新日期:1992-09-01 00:00:00

  • The spread of transgene expression at the site of gene construct injection.

    abstract::Seven 2-day-old golden retriever pups were given focal intramuscular injections of a first generation adenovirus-dystrophin minigene construct and adenovirus-beta-galactosidase construct as a 2:1 mixture into the left anterior tibial muscle. The spread of transgene expression within the anterior tibial muscle was comp...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.1031

    authors: O'Hara AJ,Howell JM,Taplin RH,Fletcher S,Lloyd F,Kakulas B,Lochmüller H,Karpati G

    更新日期:2001-04-01 00:00:00

  • Obturator neuropathy: causes and outcome.

    abstract::To study causes of obturator neuropathy and to correlate them with outcome, we retrospectively studied patients seen at the Mayo Clinic electromyography (EMG) laboratory from 1975 through 1999 with a diagnosis of obturator neuropathy. Twenty-two patients with obturator neuropathy were identified. The clinical outcome ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.10065

    authors: Sorenson EJ,Chen JJ,Daube JR

    更新日期:2002-04-01 00:00:00

  • Single-fiber electromyography of masseter muscle in myasthenia gravis.

    abstract::Jitter after axonal microstimulation in the masseter muscle was studied in 30 consecutive patients (12 women) with myasthenia gravis (MG). Patients' mean age was 42.3 (12-75), median disease duration was 3 months (1-72), and onset was ocular (15 cases), oculobulbar (7), bulbar (6), or generalized (2). There were 23 ne...

    journal_title:Muscle & nerve

    pub_type: 临床试验,杂志文章

    doi:10.1002/mus.20921

    authors: Khuraibet AJ,Rousseff RT,Behbehani R,al-Shubaili AF,Khan RA

    更新日期:2008-04-01 00:00:00

  • Animal models of alcoholic neuropathy: morphologic, electrophysiologic, and biochemical findings.

    abstract::A chronic high alcohol intake was induced in rats through the use of two procedures: the schedule-induced polydipsia technique and the liquid diet technique. Rats consumed 11-12 g of ethanol per kilogram body weight per day for 16 to 18 weeks. Morphologic evidence of a mild distal axonal neuropathy in the ventral caud...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880020208

    authors: Bosch EP,Pelham RW,Rasool CG,Chatterjee A,Lash RW,Brown L,Munsat TL,Bradley WG

    更新日期:1979-03-01 00:00:00

  • Feasibility of Muscle Activity Assessment With Surface Electromyography During Bed Cycling Exercise In Intensive Care Unit Patients.

    abstract:INTRODUCTION:Intensive care unit (ICU) patients often develop weakness. Rehabilitation is initiated early to prevent physical deterioration, but knowledge of optimal training schedules is lacking. A reliable method to assess muscle activity during exercise is needed. In this study we explored the feasibility of electri...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.26330

    authors: Sommers J,Van Den Boorn M,Engelbert RHH,Nollet F,Van Der Schaaf M,Horn J

    更新日期:2018-11-01 00:00:00

  • Time and frequency domain analysis of acoustic signals from a human muscle.

    abstract::We wished to determine whether evoked force output from a human muscle could be inferred from the amplitude and the frequency of evoked muscular sounds. Sounds from adductor pollicis were recorded with a microphone and compared to evoked force changes produced by varying the intensity of nerve stimulation or of volunt...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199708)20:8<991::aid-mus9>

    authors: Chen D,Durand LG,Bellemare F

    更新日期:1997-08-01 00:00:00

  • Activity, molecular forms, and cytochemistry of cholinesterases in developing rat diaphragm.

    abstract::Acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) were studied in the diaphragm of early postnatal rats, using radiometric determination of enzyme activities, velocity sedimentation for separation of molecular forms, and electron microscopic cytochemistry to localize enzymes. AChE activity did not change s...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880040607

    authors: Brzin M,Sketelj J,Tennyson VM,Kiauta T,Budininkas-Schoenebeck M

    更新日期:1981-11-01 00:00:00

  • Cortical and spinal mechanisms of facilitation to brain stimulation.

    abstract::Compound muscle action potentials (CMAPs) evoked by magnetic brain stimuli are larger if the subject provides a steady background voluntary contraction of the target muscle. This facilitation could be due either to cortical or spinal mechanisms, or both. Both magnetic and electrical stimuli given immediately after the...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-4598(199608)19:8<953::AID-MUS3>

    authors: Mills KR,Kimiskidis V

    更新日期:1996-08-01 00:00:00

  • Perioral reflexes in orofacial dyskinesia and spasmodic dysphonia.

    abstract::In order to assess the clinical utility of trigemino-facial reflexes in lower facial muscles, we studied perioral reflexes to mechanical and electrical stimulation in 13 patients with spasmodic dysphonia and orofacial dyskinesia and in 7 healthy subjects. Mechanical stimulation of the upper lip of all patients and ele...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880150906

    authors: Topka H,Hallett M

    更新日期:1992-09-01 00:00:00

  • Effects of imagery motor training on torque production of ankle plantar flexor muscles.

    abstract::The aim of this study was to investigate in control subjects the effect of imagery training on the torque of plantar-flexor muscles of the ankle. Twenty-nine subjects were allocated to one of three groups that performed either imagery training, low-intensity strength training, or no training (only measurements). The l...

    journal_title:Muscle & nerve

    pub_type: 临床试验,杂志文章

    doi:10.1002/mus.10406

    authors: Zijdewind I,Toering ST,Bessem B,Van Der Laan O,Diercks RL

    更新日期:2003-08-01 00:00:00

  • Defective oxidative metabolism of myodystrophic skeletal muscle mitochondria.

    abstract::A small-scale procedure for preparing tightly coupled intact skeletal muscle mitochondria from myodystrophic (myd/myd) mice is described. Mitochondrial preparations derived from heart, liver, and skeletal muscle of myd/myd and their littermate (+/?) controls are characterized with respect to their cytochrome content a...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880020504

    authors: Lee CP,Martens ME,Jankulovska L,Neymark MA

    更新日期:1979-09-01 00:00:00

  • Prospective comparison of acute motor axonal neuropathy and acute inflammatory demyelinating polyradiculoneuropathy in 140 children with Guillain-Barré syndrome in India.

    abstract:INTRODUCTION:There have been few reports on subtypes of Guillain-Barré syndrome (GBS) in children. We compared clinical and laboratory findings of acute inflammatory demyelinating polyradiculoneuropathy (AIDP) and acute motor axonal neuropathy (AMAN). METHODS:One hundred forty children with GBS were included. Based on...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25992

    authors: Kalita J,Kumar M,Misra UK

    更新日期:2018-05-01 00:00:00

  • Update on immune-mediated therapies for myasthenia gravis.

    abstract::With the exception of thymectomy, immune modulatory treatment strategies and clinical trials in myasthenia gravis over the past 50 y were mainly borrowed from experience in other nonneurologic autoimmune disorders. The current experimental therapy paradigm has significantly changed such that treatments directed agains...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/mus.26919

    authors: Habib AA,Ahmadi Jazi G,Mozaffar T

    更新日期:2020-11-01 00:00:00

  • Subacute demyelinating polyradiculoneuropathy complicating Epstein-Barr virus infection in GATA2 haploinsufficiency.

    abstract:INTRODUCTION:Autosomal dominant haploinsufficiency of GATA2 causes monocytopenia and natural killer cell lymphopenia, resulting in predisposition to mycobacterial, fungal, and viral infections. METHODS:Herein we report on the clinical, serologic, electrophysiologic, and pathologic evaluations of a 29-year-old woman wi...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25581

    authors: Kazamel M,Klein CJ,Benarroch EE,Patnaik MM,Tracy JA

    更新日期:2018-01-01 00:00:00

  • Diagnostic utility of somatosensory evoked potentials in chronic polyradiculopathy without electrodiagnostic signs of peripheral demyelination.

    abstract:INTRODUCTION:Diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) remains uncertain when nerve conduction studies (NCS) fail to show demyelination. METHODS:We conducted a retrospective study of patients who presented with clinical criteria of CIDP in whom electrodiagnostic (EDx) criteria of definite o...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24693

    authors: Devic P,Petiot P,Mauguiere F

    更新日期:2016-01-01 00:00:00

  • Relationship between electrical and vibratory output of muscle during voluntary contraction and fatigue.

    abstract::Measurements were done on the biceps muscles of 6 healthy volunteers to record simultaneously the surface electromyogram (EMG) and vibromyogram (VMG) by means of a piezoelectric device (accelerometer). The VMG is generated by mechanical waves due to the contraction mechanism and often measured as sound. The frequency ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880140810

    authors: Zwarts MJ,Keidel M

    更新日期:1991-08-01 00:00:00

  • Creatine kinase activity in normal and Duchenne muscular dystrophy fibroblasts.

    abstract::Cultured human skin fibroblasts from 9 patients with Duchenne muscular dystrophy (DMD) and 8 normal age- and sex-matched controls were examined for creatine kinase (CK) activity. Both the normal and the DMD fibroblasts were found to have significant levels of CK activity (approximately 10 x 10(-3) IU per milligram of ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880050102

    authors: Davis MH,Cappel R,Vester JW,Samaha FJ,Gruenstein E

    更新日期:1982-01-01 00:00:00

  • Ultrasonographic assessment of longitudinal median nerve and hand flexor tendon dynamics in carpal tunnel syndrome.

    abstract:INTRODUCTION:Changes in subsynovial connective tissue (SSCT) in carpal tunnel syndrome (CTS) patients may result in altered dynamics; consequently, quantification of these dynamics might support objective diagnosis of CTS. METHODS:We measured and compared longitudinal excursion of the flexor digitorum superficialis an...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.23246

    authors: Korstanje JW,Scheltens-De Boer M,Blok JH,Amadio PC,Hovius SE,Stam HJ,Selles RW

    更新日期:2012-05-01 00:00:00