was discontinued, and the patient was discharged symptom-free and in good health.
Our patients have responded to erythromycin, octreotide, neostigmine, pyridostigmine
, trimebutine maleate, domperidone, and laxative treatments.
The patient's blood glucose was regulated with intensive insulin treatment, the ptosis improved with pyridostigmine
and diabetes education was completed.
, an acetylcholinesterase inhibitor that potentiates neurotransmissionin autonomic ganglia, amplifies sympathetic activation in response to orthostatic stress.
bromide 60 mg/d was initiated and the dosage was increased up to 360 mg/d.
He was started on prednisone 40 mg daily and pyridostigmine
120 mg four times daily, two and a half months prior to admission, and azathioprine 150 mg daily, 10 days prior to admission.
(a) (b)  Diazepam    Atropine    Neostigmine    Scopolamine    Pyridostigmine
  True Wrong (a) (c)  Diazepam      Atropine      Neostigmine      Scopolamine      Pyridostigmine
    Probably Probably True true wrong Wrong
In cases where snake envenomation and tick are less likely (or have been ruled out) and the index of suspicion for MG is high, the clinical response to a test dose of edrophonium or pyridostigmine
may be a good diagnostic option.
The diagnosis of myasthenia gravis was performed; thus, patient started on pyridostigmine
180 mg/day and prednisone 25 mg/day, with no evident benefit.
Ptosis was reduced on the sixth day of pyridostigmine
(3 mg/kg p.o.) and pyridoxine (150 mg/[m.sup.2] oral) treatment.
We started treatment with pyridostigmine
and recommended surgical extirpation of mediastinal tumor, which was done two weeks later (Fig.