{"id":2552,"date":"2009-03-02T02:21:52","date_gmt":"2009-03-02T02:21:52","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuromg\/"},"modified":"2025-05-14T19:11:27","modified_gmt":"2025-05-14T19:11:27","slug":"neuromg","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neuromg\/","title":{"rendered":"Criterios Diagn\u00f3stico para Miastenia Gravis"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p style=\"font-weight: 400;\">Enfermedad de la transmisi\u00f3n neuromuscular caracterizada por debilidad fluctuante y fatigabilidad bulbar y de otros m\u00fasculos voluntarios sin p\u00e9rdida de los reflejos o alteraci\u00f3n de la sensibilidad u otras funciones neurol\u00f3gicas.<\/p>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\"><em>Criterios diagn\u00f3stico:<\/em><\/p>\n<ol>\n<li style=\"font-weight: 400;\">Signos y s\u00edntomas caracter\u00edsticos<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">Uno o m\u00e1s de los siguientes:<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Diplop\u00eda, ptosis, disartria, debilidad en la masticaci\u00f3n, dificultad en la degluci\u00f3n, debilidad muscular con los reflejos tendinosos profundos preservados, y, menos com\u00fanmente, debilidad en la extensi\u00f3n y flexi\u00f3n del cuello, y debilidad de los m\u00fasculos del tronco<\/li>\n<li>Debilidad incrementada durante el ejercicio y uso repetitivo con al menos recuperaci\u00f3n parcial de la fuerza despu\u00e9s de per\u00edodos de reposo<\/li>\n<li>Mejor\u00eda sustancial en la fuerza seguida de la administraci\u00f3n de drogas anticolinesterasa (edrofonio (Tensil\u00f3n\u00ae) y neostigmina);<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">Y uno o m\u00e1s de los siguientes:<\/p>\n<ol>\n<li style=\"font-weight: 400;\">EMG y estimulaci\u00f3n repetitiva de un nervio perif\u00e9rico: En la miastenia gravis la estimulaci\u00f3n repetitiva a una frecuencia de 2 por segundo muestra una caracter\u00edstica respuesta descendente el cual es revertido por edrofonio o neostigmina. Los estudios de fibras \u00fanicas muestran aumento del jitter o intervalo interpotencial entre fibras musculares que pertenecen a una misma unidad motora.<\/li>\n<li style=\"font-weight: 400;\">Anticuerpos para receptores de Acetilcolina<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\"><em>Exclusiones:<\/em><\/p>\n<ul style=\"font-weight: 400;\">\n<li>S\u00edndrome miast\u00e9nico cong\u00e9nito, miopat\u00edas restrictivas progresivas, miopat\u00edas esteroideas e inflamatorias, enfermedad de neurona motora<\/li>\n<li>Esclerosis m\u00faltiple, variantes de s\u00edndrome de Guillain-Barr\u00e9 (por ej. s\u00edndrome de Miller-Fisher)<\/li>\n<li>Toxicidad por \u00f3rganofosforados, botulismo, veneno de ara\u00f1a viuda negra<\/li>\n<li>S\u00edndrome de Eaton-Lambert<\/li>\n<li>Stroke<\/li>\n<li>Medicamentos: agentes bloqueadores neuromusculares, aminogluc\u00f3sidos, penicilamina, drogas antimal\u00e1ricas, colistina, estreptomicina, polimicina B, tetraciclina<\/li>\n<li>Hipokalemia; hipofosfatemia<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Clasificaci\u00f3n de severidad de Osserman:<\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li>I: Miastenia ocular<\/li>\n<li>IIA: Miastenia generalizada leve con lenta progresi\u00f3n: no crisis, responsiva a drogas<\/li>\n<li>IIB: Miastenia generalizada moderadamente severa: compromiso esquel\u00e9tico y bulbar severo pero no crisis; respuesta a drogas menos que satisfactoria<\/li>\n<li>III: Miastenia fulminante aguda, r\u00e1pida progresi\u00f3n de s\u00edntomas severos, con crisis respiratorias y pobre respuesta a drogas<\/li>\n<li>IV: Miastenia severa tard\u00eda, igual que III pero progresi\u00f3n de m\u00e1s de 2 a\u00f1os desde clase I a II<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Ossermann KE. Myasthenia gravis. New York: Grune and Stratton; 1958.<\/li>\n<li>Engel AG. Myasthenic syndromes. In: Engel AG, Franzini Armstrong C, editors. Myology. 2nd ed. New York: McGraw Hill; 1994. p. 1798-835.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Oct 11, 2006<\/p>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Enfermedad de la transmisi\u00f3n neuromuscular caracterizada por debilidad fluctuante y fatigabilidad bulbar y de otros m\u00fasculos voluntarios sin p\u00e9rdida de los reflejos o alteraci\u00f3n de la sensibilidad u otras funciones neurol\u00f3gicas.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[16,15,14,13,1686,1687,1688,1300],"class_list":["post-2552","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-gravis","tag-miastenia","tag-myasthenia","tag-neurology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Criterios Diagn\u00f3stico para Miastenia Gravis - MedicalCRITERIA.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicalcriteria.com\/web\/neuromg\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]Criterios Diagn\u00f3stico para Miastenia Gravis[:en]Diagnostic Criteria for Myasthenia Gravis[:] - MedicalCRITERIA.com\" \/>\n<meta property=\"og:description\" content=\"Enfermedad de la transmisi\u00f3n neuromuscular caracterizada por debilidad fluctuante y fatigabilidad bulbar y de otros m\u00fasculos voluntarios sin p\u00e9rdida de los reflejos o alteraci\u00f3n de la sensibilidad u otras funciones neurol\u00f3gicas.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicalcriteria.com\/web\/neuromg\/\" \/>\n<meta property=\"og:site_name\" content=\"MedicalCRITERIA.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/medicalcriteria\/\" \/>\n<meta property=\"article:published_time\" content=\"2009-03-02T02:21:52+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-14T19:11:27+00:00\" \/>\n<meta name=\"author\" content=\"Guillermo Firman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Guillermo Firman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/\"},\"author\":{\"name\":\"Guillermo Firman\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\"},\"headline\":\"Criterios Diagn\u00f3stico para Miastenia Gravis\",\"datePublished\":\"2009-03-02T02:21:52+00:00\",\"dateModified\":\"2025-05-14T19:11:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/\"},\"wordCount\":714,\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"keywords\":[\"Criteria\",\"criterios\",\"Diagnostic\",\"diagnostico\",\"Gravis\",\"miastenia\",\"Myasthenia\",\"neurology\"],\"articleSection\":[\"Neurology\"],\"inLanguage\":\"es\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/\",\"name\":\"[:es]Criterios Diagn\u00f3stico para Miastenia Gravis[:en]Diagnostic Criteria for Myasthenia Gravis[:] - MedicalCRITERIA.com\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\"},\"datePublished\":\"2009-03-02T02:21:52+00:00\",\"dateModified\":\"2025-05-14T19:11:27+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/neuromg\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Criterios Diagn\u00f3stico para Miastenia Gravis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"name\":\"MedicalCRITERIA.com\",\"description\":\"Unifying Concepts\",\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\",\"name\":\"MedicalCRITERIA.com\",\"alternateName\":\"Criterios M\u00e9dicos\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"contentUrl\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"width\":600,\"height\":257,\"caption\":\"MedicalCRITERIA.com\"},\"image\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/medicalcriteria\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\",\"name\":\"Guillermo Firman\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"caption\":\"Guillermo Firman\"},\"sameAs\":[\"http:\\\/\\\/MedicalCRITERIA.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"[:es]Criterios Diagn\u00f3stico para Miastenia Gravis[:en]Diagnostic Criteria for Myasthenia Gravis[:] - MedicalCRITERIA.com","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicalcriteria.com\/web\/neuromg\/","og_locale":"es_ES","og_type":"article","og_title":"[:es]Criterios Diagn\u00f3stico para Miastenia Gravis[:en]Diagnostic Criteria for Myasthenia Gravis[:] - MedicalCRITERIA.com","og_description":"Enfermedad de la transmisi\u00f3n neuromuscular caracterizada por debilidad fluctuante y fatigabilidad bulbar y de otros m\u00fasculos voluntarios sin p\u00e9rdida de los reflejos o alteraci\u00f3n de la sensibilidad u otras funciones neurol\u00f3gicas.","og_url":"https:\/\/medicalcriteria.com\/web\/neuromg\/","og_site_name":"MedicalCRITERIA.com","article_publisher":"https:\/\/www.facebook.com\/medicalcriteria\/","article_published_time":"2009-03-02T02:21:52+00:00","article_modified_time":"2025-05-14T19:11:27+00:00","author":"Guillermo Firman","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Guillermo Firman","Tiempo de lectura":"4 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/medicalcriteria.com\/web\/neuromg\/#article","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/neuromg\/"},"author":{"name":"Guillermo Firman","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c"},"headline":"Criterios Diagn\u00f3stico para Miastenia Gravis","datePublished":"2009-03-02T02:21:52+00:00","dateModified":"2025-05-14T19:11:27+00:00","mainEntityOfPage":{"@id":"https:\/\/medicalcriteria.com\/web\/neuromg\/"},"wordCount":714,"publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"keywords":["Criteria","criterios","Diagnostic","diagnostico","Gravis","miastenia","Myasthenia","neurology"],"articleSection":["Neurology"],"inLanguage":"es"},{"@type":"WebPage","@id":"https:\/\/medicalcriteria.com\/web\/neuromg\/","url":"https:\/\/medicalcriteria.com\/web\/neuromg\/","name":"[:es]Criterios Diagn\u00f3stico para Miastenia Gravis[:en]Diagnostic Criteria for Myasthenia Gravis[:] - MedicalCRITERIA.com","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/#website"},"datePublished":"2009-03-02T02:21:52+00:00","dateModified":"2025-05-14T19:11:27+00:00","breadcrumb":{"@id":"https:\/\/medicalcriteria.com\/web\/neuromg\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medicalcriteria.com\/web\/neuromg\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medicalcriteria.com\/web\/neuromg\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/medicalcriteria.com\/web\/"},{"@type":"ListItem","position":2,"name":"Criterios Diagn\u00f3stico para Miastenia Gravis"}]},{"@type":"WebSite","@id":"https:\/\/medicalcriteria.com\/web\/#website","url":"https:\/\/medicalcriteria.com\/web\/","name":"MedicalCRITERIA.com","description":"Unifying Concepts","publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medicalcriteria.com\/web\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/medicalcriteria.com\/web\/#organization","name":"MedicalCRITERIA.com","alternateName":"Criterios M\u00e9dicos","url":"https:\/\/medicalcriteria.com\/web\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/","url":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","contentUrl":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","width":600,"height":257,"caption":"MedicalCRITERIA.com"},"image":{"@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/medicalcriteria\/"]},{"@type":"Person","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c","name":"Guillermo Firman","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","caption":"Guillermo Firman"},"sameAs":["http:\/\/MedicalCRITERIA.com"]}]}},"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2552"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2552\/revisions"}],"predecessor-version":[{"id":9123,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2552\/revisions\/9123"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}