Page 315 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Disorders of Neuromuscular Transmission
                              Action potential
                                                                       Disorders
             Local
             anesthetics
                                 Na +              Botulinus toxin
                                                                       Neuromuscular Transmission:
                            Ca 2+
                                                     2+
                                                   Mg , hemicholine
           Antibodies         ACh                       Physostigmine
                      Suxamethonium                      Curare





                         Na +               ACh-esterase
                 Muscle cell                                           Plate 10.4
                                 Contraction

        B.  Myasthenia Gravis          C.  Pseudomyasthenic Syndrome
         Viral infection
                     Genetic
                     disposition
                  DR3,                              Lung carcinoma
                  DQw2                        Ca 2+
                             Thymoma



                                                    Sensitization
                                                          2+
                                                    against Ca channels
                      Sensitization                 of the tumor cells
                      against ACh receptor-  Antibody
                      like structure        formation
              Antibody
              formation
                                                          1
                                         Repetitive stimulation
          Repetitive stimulation  1
         1mV                            1mV
                                       2
         2    50ms                          50ms
                                                  Lambert-Eaton
                    Myasthenia gravis             myasthenic syndrome  305

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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