Transient neonatal myasthenia gravis and pyloric stenosis

The case report describes the occurrence of hypertrophic pyloric stenosis in a premature infant with neonatal myasthenia gravis. The infant presented for pyloromyotomy on the nineteenth day of life. Diagnosis of myasthenia gravis was made based on maternal history and clinical findings of poor muscle tone, weak suck, and weak cry. The anesthetic management is discussed with reference to the problems of newborn myasthenia gravis and pyloric stenosis as they relate to anesthetic drugs and techniques.