Related Experiment Video
Updated: Mar 20, 2026
Novel Mini-open Transforaminal Lumbar Interbody Fusion
Published on: June 6, 2025
Myasthenia Gravis Presentation After a Cervical Laminectomy With Fusion
Darlene Deters1, Stephanie L Fowler, Raymundo Orozco
1Darlene Deters, RN, MSN, ARNP-BC, CCRN, is a board certified advance practice nurse at the Center for Nursing Science and Clinical Inquiry, San Antonio Military Medical Center at Joint Base Fort Sam Houston, Texas. Stephanie L. Fowler, RN, BSN, is a critical care registered nurse in the Critical Care Nursing Services, San Antonio Military Medical Center at Joint Base Fort Sam Houston, Texas. Raymundo Orozco, RN, BSN, CCRN, is a Captain of the United States Army and is a critical care registered nurse in the Critical Care Nursing Services, San Antonio Military Medical Center at Joint Base Fort Sam Houston, Texas. Patrick R. Smith, RN, BSN, CCRN, is a Captain in the US Army and is a critical care registered nurse in the Critical Care Nursing Services, San Antonio Military Medical Center at Joint Base Fort Sam Houston, Texas. Shelby Spurlock, RN, is a critical care registered nurse in the Critical Care Nursing Services, San Antonio Military Medical Center at Joint Base Fort Sam Houston, Texas. Darlene Blackmon, LPN, is a licensed practical nurse in the Critical Care Nursing Services, San Antonio Military Medical Center at Joint Base Fort Sam Houston, Texas. Samantha Thomas, AD, NREMT, is a staff sergeant in the US Air Force and is a Critical Care Technician in the Critical Care Nursing Services, San Antonio Military Medical Center at Joint Base Fort Sam Houston, Texas.
Abstract:
Myasthenia gravis is a chronic neuromuscular disorder that causes skeletal muscle weakness. Typically, myasthenia gravis affects the ocular, bulbar, neck, proximal limbs, and respiratory muscles. Although the presentation is typically observed with complaints of vision and bulbar symptoms such as diplopia, dystonia, and dysphagia, this article presents a case study of an elderly man with a history of increasing upper extremity weakness with complaints of worsening hand dexterity and intermittent episodes of expressive aphasia. After cervical laminectomy with fusion, this gentleman was admitted to the medical intensive care unit, in a complete myasthenic crisis.
Related Concept Videos
01:20Myasthenia Gravis: Overview and Treatment
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
01:15Myasthenia Gravis: Diagnostic Tests
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
01:28Disorders of the Skeletal Muscle
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
01:26Chemical Synapses
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
01:26Chemical Synapses
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
01:31Skeletal Muscle Relaxants: Therapeutic Uses