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KMID : 1094020120290010107
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Journal of Veterinary Clinics
2012 Volume.29 No. 1 p.107 ~ p.111
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Megaoesophagus Seconday to Myasthenia Gravis in Three Dogs
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Lee Hee-Chun
Jeon Joon-Hyeok
Cho Kyu-Woan
Kang Byeong-Teck
Jung Dong-In
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Abstract
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Three dogs (An 8 years-old intact female Poodle, a 7 years-old intact male Schunauzer, and an 8 years-old Golden Retriever) were presented due to acute vomiting, dyspnea, and generalized weakness. Megaesophagus was confirmed through radiographic examination in all 3 dogs. Relative oesophageal diameter (ROD) was measured and results of ROD measurements showed the possibility of megaesophagus secondary to myasthenia gravis in three dogs. Thus we performed anticholinesterase test as screening test for myasthenia gravis. In all three dogs, esophageal diameter was reduced after neostigmine methylsulfate administration. For definite diagnosis of acquired myasthenia gravis, serum acetylcholine receptor antibody titer was measured, but definite diagnosis was confirmed only in one case. However, based on history, radiographic findings, anticholinesterase test, ROD measurement, other two cases were still suspected as megaesophagus secondary to myasthenia gravis. Treatment with pyridostigmine bromide was initiated in all dogs, and improvement of esophageal diameter was shown in all dogs. One dog was successfully managed for 15 months after initial treatment and, is still alive, but other two dogs were died shortly after initial treatment, because of severe aspiration pneumonia.
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KEYWORD
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myasthenia gravis, megaesophagus, relative oesophageal diameter(ROD), anticholinesterase test, dog
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