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Best Doctors for Myasthenia Gravis in Delhi

Myasthenia Gravis (MG), a rare neuromuscular disorder, makes its presence known through muscular weakness and fatigue. Essentially an autoimmune condition, MG stems from the production of autoantibodies that hinder the normal functioning of the neuromuscular junction, a critical point for muscle stimulation. The result is muscle weakness and fatigue. Anyone can fall prey to this disease, but factors such as hereditary predisposition and environmental triggers can place certain individuals at higher risk.

Fortunately, Apollo Hospitals, Delhi has some of the best doctors for Myasthenia Gravis, ensuring that those battling this condition receive optimal care.

Search Result: 5

Dr Aniel Malhotra

MBBS, MS, DOMS

Registration No

205413

Language

English, français, हिंदी

26 years experience overall

Sarita Vihar , Delhi


TUE, FRI, SAT | MON, WED, THU(12:00 PM-04:00 PM | 10:00 AM-12:00 PM)
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Registration No

678240

Language

English, हिंदी

24 years experience overall

Sarita Vihar , Delhi


THU | SAT | TUE(12:00 PM-04:00 PM | 04:00 PM-06:00 PM | 10:00 AM-12:00 PM)
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Dr L R Seth

MBBS, MS, DOMS

Registration No

452

Language

English, हिंदी

30 years experience overall

Sarita Vihar , Delhi


MON, THU, FRI | TUE, WED, SAT | MON, THU, FRI(08:00 AM-10:00 AM | 12:00 PM-04:00 PM | 10:00 AM-12:00 PM)
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Registration No

460

Language

English, हिंदी

31 years experience overall

Sarita Vihar , Delhi


MON, FRI | TUE, WED, SAT(12:00 PM-03:00 PM | 10:00 AM-12:00 PM)
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Dr Uma Mallaiah

MBBS, DO, FRCS

Registration No

457

Language

English, हिंदी

20 years experience overall

Sarita Vihar , Delhi


TUE, FRI | WED, THU | MON, SAT(10:00 AM-02:00 PM | 01:00 PM-03:00 PM | 02:00 PM-04:00 PM)
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Frequently Asked Questions for s in

Certain factors such as stress, infections, fatigue, certain medications (such as beta-blockers or muscle relaxants), and extreme temperatures can exacerbate the symptoms of myasthenia gravis.

Blood tests are conducted to check for specific antibodies that are often present in individuals with Myasthenia gravis. The most common antibody test is for acetylcholine receptor antibodies (AChR antibodies). A positive result can help confirm the diagnosis. Other antibody tests, such as muscle-specific kinase (MuSK) antibodies or lipoprotein-related protein 4 (LRP4) antibodies, may also be performed if necessary.

EMG, or electromyography is a test commonly used to diagnose myasthenia gravis. To capture an individual muscle’s electrical activity, tiny needles are inserted into that muscle. By assessing the response of these muscles to repetitive nerve stimulation, the EMG can help determine if there is a disruption in the communication between nerves and muscles, confirming the diagnosis of myasthenia gravis.

The overall death rate for myasthenia gravis is low, especially with proper diagnosis and treatment. With advancements in medical care and access to appropriate therapies, most individuals with myasthenia gravis can lead normal lives. The death rate for myasthenia gravis has significantly declined over the past decades due to improved diagnosis and treatment.

Excessive sleepiness or fatigue is a common symptom of myasthenia gravis. Loss of strength in the respiratory muscles and maintaining posture can contribute to feeling tired or sleepy. Discuss any concerns about excessive sleepiness with your healthcare professional.

While there may be a genetic component to myasthenia gravis, it is not typically inherited in a predictable pattern. Only a small percentage of people with myasthenia gravis have family members with the condition. However, having a family history of autoimmune disorders could make myasthenia gravis more likely to occur.

Stress does not directly cause myasthenia gravis. However, stress can exacerbate the symptoms of this condition. Emotional or physical stress can lead to increased muscle weakness and fatigue in individuals with myasthenia gravis. It is important to manage stress levels and adopt healthy coping strategies to help minimise symptom flare-ups.

You can get myasthenia gravis at any age, but it mainly affects women under the age of 40 and men over the age of 60. However, it is important to note that myasthenia gravis can affect individuals of all ages, including children and teenagers. Prompt diagnosis and treatment are essential regardless of age.

It is unclear what specifically causes myasthenia gravis. It is believed to be an autoimmune disorder, where the immune system mistakenly attacks the neuromuscular junctions, leading to muscle weakness and fatigue. In its development, genetic and environmental factors can play a role, but more research is needed to determine the exact causes.

Myasthenia gravis primarily affects the muscles and nerves that control voluntary movements. The communication between nerves and muscles becomes disrupted, leading to muscle weakness and fatigue. Commonly affected muscles include those responsible for eye movements, facial expressions, chewing, swallowing, and breathing.

Myasthenia gravis diagnosis entails a combination of medical history evaluation, physical examination, and specialised tests. The doctor will assess your symptoms and may conduct examinations, such as blood testing, to verify specific antibodies, nerve conduction studies, electromyography (EMG), or repetitive nerve stimulation tests. These tests help confirm the diagnosis and guide treatment decisions.

If you experience symptoms such as muscle weakness, difficulty speaking or swallowing, drooping eyelids, or double vision, it is important to see a doctor. These symptoms could be a sign of myasthenia gravis, and better results can be achieved with an early diagnosis.

Neurologists are the specialists who commonly diagnose and treat Myasthenia gravis. They have expertise in disorders of the nervous system and can provide comprehensive care for patients with this condition. They have the necessary training and experience to manage the complexities of Myasthenia gravis and develop an effective treatment plan. Other specialists who may be involved in the care of myasthenia gravis include ophthalmologists, pulmonologists, and thoracic surgeons.

Unfortunately, there is no known way to prevent Myasthenia gravis. While we cannot prevent the development of this condition, timely diagnosis, appropriate treatment, and regular follow-up with a healthcare professional can help manage its symptoms and improve quality of life.

The treatment options for Myasthenia gravis include medications, such as anticholinesterase agents and immunosuppressive drugs, to manage symptoms and reduce immune system activity. In certain circumstances, the thymus gland may need to be surgically removed. Other treatments like plasmapheresis and intravenous immunoglobulin therapy can help improve muscle strength.

Types/Stages of Myasthenia Gravis

MG manifests itself in various forms such as:

  • Ocular Myasthenia Gravis (OMG): Restricted to affecting eye muscles, symptoms include drooping eyelids and double vision.

  • Generalised Myasthenia Gravis: Involves multiple muscle groups including those used in breathing, swallowing and limb movement.

  • Osserman Classification: This system categorises MG into five types based on symptom severity ranging from purely ocular symptoms (Type I) to a myasthenic crisis requiring urgent medical attention (Type V).

Symptoms of Myasthenia Gravis

Visible signs of MG include:

  • Muscle Weakness: Gradual onset of muscle weakness mainly affecting the face, arms, and legs.

  • Fatigue: Muscular exhaustion, particularly after repeat activities.

  • Ptosis: Drooping eyelids.

  • Respiratory Distress: Difficulty breathing or shortness of breath.

Tests to Diagnose Myasthenia Gravis

The detection of MG involves a series of tests such as:

  • Physical Examination: Doctors assess muscle strength and tone, coordination, and sense of sight.

  • Blood Tests: These identify abnormal antibodies that may disrupt nerve-muscle communication.

  • Electromyography (EMG): This procedure measures electrical activity within muscles.

  • Nerve Conduction Study: This test measures nerves’ ability to send impulses to muscles in different areas of the body.

Treatment or Surgery Options for Myasthenia Gravis at Apollo Hospitals, Delhi

MG treatment requires a personalised approach, involving medication or possibly surgery. Available options at Apollo Hospitals in Delhi are:

  • Cholinesterase Inhibitors: Medications like pyridostigmine increase acetylcholine levels, improving muscle strength.

  • Immunosuppressive Therapies: Drugs like steroids, azathioprine and methotrexate inhibit autoantibody production.

  • Biological Agents: Medicines such as Rituximab target specific immune cells involved in autoantibody production.

  • Thymectomy: Surgical removal of the thymus gland can improve symptoms for many patients.

With the best Myasthenia Gravis specialists on board, trust Apollo Hospitals in Delhi to guide you through the journey to recovery.

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