- 期刊
Coexistence of Epilepsy and Myasthenia Gravis: Report of Four Patients and Review of the Literature
重症肌無力合併癲癇：四病例報告與文獻回顧
並列摘要
Patients with myasthenia gravis (MG) have a higher incidence of epilepsy or seizure disorders than general population. Coexistence of MG and epilepsy seems not simply due to chance association. MG was not infrequently considered as a complication of long-term anticonvulsant therapy. In National Taiwan University Hospital, we found 4 out of 251 MG patients who suffered from epilepsy. MG manifestations of these patients did not differ from those in MG patients without epilepsy. There were increased levels of antibody to acetylcholine receptors and association with thymus hyperplasia or thyroid disease. In the literature, we found 25 reported cases with MG and epilepsy. No specific type of epilepsy was linked to coexistence of MG and epilepsy. Possible causes for MG in association with epilepsy are multiple, including drug-induced depression at the neuromuscular junction, anticonvulsant-related immunological changes, and unknown common mechanism to both diseases.
延伸閱讀
- Lo, L. S. (2003). 重症肌無力症及癲癇相關性的新了解. Acta Neurologica Taiwanica, 12(4), 168-168. https://www.airitilibrary.com/Article/Detail?DocID=10196099-200312-12-4-168-168-a
- 陳鳳茹、歐淑琳、顧德璉（2017）。Tranexamic Acid引起癲癇之案例報告。臺灣臨床藥學雜誌，25(3)，262-268。https://doi.org/10.6168/FJCP.2017.2503.09
- 李世偉、黃敏生、趙文崇（1998）。癲癇性皮質視覺障礙－病例報告。中華民國眼科醫學會雜誌，37(4)，507-513。https://doi.org/10.30048/ACTASOS.199812.0012
- Chang, L. B., Lirng, J. F., Teng, M. M. H., Chang, C. Y., Yen, D. J., & Yiu, C. H. (2001). 複雜型部份癲癇重積狀態磁振造影表現－病例報告. The Kaohsiung Journal of Medical Sciences, 17(12), 633-637. https://doi.org/10.6452/KJMS.200112.0633
- Song, C. J., & Liu, W. Y. (2020). 【論文摘要】以國際健康功能與身心障礙分類系統分析運動介入對於癲癇患者的影響：系統性回顧. 物理治療, 45(4), 308-308. https://doi.org/10.6215/FJPT.202012.O16