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Journal of Clinical Monitoring and Computing
Published in: Journal of Clinical Monitoring and Computing 6/2020

01-12-2020 | Myasthenia Gravis | Letter to the Editor

Neuromuscular blockade at the orbicularis oculi muscle in a patient with myasthenia gravis

Authors: M. Yamamoto, T. Suzuki

Published in: Journal of Clinical Monitoring and Computing | Issue 6/2020

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Excerpt

We concurrently monitored rocuronium-induced neuromuscular block at both the adductor pollicis (AP) and orbicularis oculi (OO) muscles in a patient with myasthenia gravis (MG), and observed markedly higher sensitivity to rocuronium at the OO. Written informed consent was obtained from the patient. …
Literature
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Lee HJ, Kim KS, Jeong JS, Cheong MA, Shim JC. Comparison of the adductor pollicis, orbicularis oculi, and corrugator supercilii as indicators of adequacy of muscle relaxation for tracheal intubation. Br J Anaesth. 2009;102:869–74.CrossRef
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Abdulatif M, El-Sanabary M. Blood flow and mivacurium-induced neuromuscular block at the orbicularis oculi and adductor pollicis muscles. Br J Anaesth. 1997;79:24–8.CrossRef
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Carsen PB, Gatke MR, Fredensborg BB, Berg H, Engbak J, Viby-Mogensen J. Acceleromyography of the orbicularis oculi muscle II: comparing the orbicularis oculi and adductor pollicis muscles. Acta Anaesthesiol Scand. 2002;46:1131–6.CrossRef
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Donati F, Meistelman C, Plaud B. Vecuronium neuromuscular blockade at the diaphragm, the orbicularis oculi, and adductor pollicis muscles. Anesthesiology. 1990;73:870–5.CrossRef
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Zambelis T, Kokotis P, Karandreas N. Repetitive nerve stimulation of facial and hypothenar muscles: relative sensitivity in different myasthenia gravis subgroups. Eur Neurol. 2011;65:203–7.CrossRef
Metadata
Title
Neuromuscular blockade at the orbicularis oculi muscle in a patient with myasthenia gravis
Authors
M. Yamamoto
T. Suzuki
Publication date
01-12-2020
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 6/2020
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-019-00422-9

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