WHAT IS AN     
MG CRISIS?
A Myasthenic Crisis occurs when MG patients are unable to breathe or swallow adequately. A crisis can be life threatening due to muscular weakness or respiratory paralysis that may require intubation or delay extubation.
There are two types of crises that typically affect MGKids:

  1.   MYASTHENIC CRISIS   Insufficient use of medication such as Mestinon can result in muscular weakness or respiratory paralysis leading to an MG Crisis.

  2.   CHOLINERGIC CRISIS   Over stimulation of the neuromuscular junction due to overmedication with anticholinesterase drugs can result in muscular weakness or respiratory paralysis leading to an MG Crisis.
   WHAT CAN TRIGGER
A CRISIS?
TYPES OF     
MG CRISES

  SWALLOWING CRISIS   
Your MGKid might be experiencing a swallowing crisis if you see that the child has pooled saliva, un-chewed food in their mouth, cough, shortness of breath, absent or nasally speech, cannot lie flat, speaks in short sentences, or acts anxious or restless.

  BREATHING (RESPITORY) CRISIS  
Your MGKid might be experiencing a breathing crisis if you see that the child has shortness of breath, speaks in short sentences, cannot lie flat, or acts anxious or restless.

Symptoms can be triggered or become worse
in conjunction with any of the following:

  • Infection, illness, or fever
  • Severe injury
  • Puberty/menses
  • Emotional upsets
  • Surgery
  • Medication changes
  • Electrolyte abnormality
  • Thyroid problems
  • Pregnancy

It is important to monitor your child's medication intake and become familiar with their baseline characteristics in order to recognize changes in their behavior. A crisis is most commonly triggered when your MGKid is overtired.

MGKIDS & CRISIS

   HOW TO HELP 
DURING A CRISIS
  • Stay calm.
    As the adult, it is your responsibility to remain calm so as not to alarm your child or make the situation worse. Your child trusts you and looks to you for guidance. Be strong even if you are frightened on the inside.

  • Evaluate the child.
    How is your child breathing? Monitor any coughing which could suggest swallowing or breathing complications.

  • Call 911 or get to a hospital.
    If the crisis triggers symptoms that are affecting any of the respiratory function call 911 immediately.  AVOID sedation, including narcotics as they worsen MG symptoms.