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. 2020 Nov;152(Suppl 1):S146-S147.
doi: 10.4103/ijmr.IJMR_2231_19.

Autoimmunity strikes neuromuscular junction: Myasthenia gravis & achalasia cardia

Sulena  1 , Durgam Vinod  2
Affiliations

Autoimmunity strikes neuromuscular junction: Myasthenia gravis & achalasia cardia

Sulena et al. Indian J Med Res. 2020 Nov.
No abstract available

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Conflict of interest statement

None

Figures

Fig. 1
Fig. 1
(A) Ptosis of left eye at the time of presentation. (B) Improvement in ptosis of left eye after treatment with Pyridostigmine.
Fig. 2
Fig. 2
Repetitive nerve stimulation of median nerve at 3 Hz showing significant decrementing responses in Compound Muscle Action Potential (>10%) suggestive of post-synaptic neuromuscular transmission disorder-Myasthenia Gravis.
Fig. 3
Fig. 3
(A) Upper gastrointestinal endoscopy showing dilated oesophagus and (B) pooled secretions with tight lower oesophageal sphincter.
Fig. 4
Fig. 4
Arrow in the axial view of computed tomography of the chest showing dilated oesophagus.
Fig. 5
Fig. 5
Arrow in the Barium swallow X-ray showing a prominent bird beak sign, oesophageal dilatation and incomplete relaxation of the lower oesophageal sphincter.
Fig. 6
Fig. 6
Oesophageal manometry showing the failure of the lower oesophageal sphincter (LES) to relax, elevated basal lower oesophageal sphincter pressure (51.6 mm of Hg) and aperistalsis of the oesophageal body suggestive of achalasia cardia-type 1.
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