References								
 Myasthenia Gravis Video
 Dr David Hilton-Jones.


 General/Review Articles.
				     									         
1. Drachman DB. 1994. Myasthenia gravis. N Engl J Med  330: 1797-1810.
                                   
2. Engel AG (Editor). 1999. Myasthenia gravis and myasthenic disorders. 
 Oxford University Press. ISBN 0-19-512970-9 - includes authoritative chapters 
 on MG, LEMS and Congenital Myasthenias.
       
3. Vincent A, Palace J and Hilton-Jones D. 2001 Myasthenia gravis. Lancet  357: 2122-8.
		
4. Palace J, Vincent A. and Beeson D. 2001. Myasthenia gravis: diagnostic and 
 management dilemmas. Curr. Opin Neurol. 14: 583-9.
										
5. Newsom-Davis J. and Beeson D. 2001. Myasthenia gravis and myasthenic syndromes; 
 in Disorders of Voluntary Muscle, eds Karpati G, Hilton-Jones D and Griggs R. pp 650-675. 
 Cambridge University Press.
 													
6. a very useful general website: www.neuro.wustl.edu/neuromuscular/synmg.html
		
										 
 Symptoms.

7. Jaretzki A, Barohn RJ et al 2000. Myasthenia gravis: recommendations for clinical 
 research standards. Task Force of Myasthenia Gravis Foundation of America. 
 Ann Thorac Surg. 70:327-34.
    
8. Wirtz PW, Verschuuren JJ et al. 2002. Difference in distribution of muscle weakness 
 between   myasthenia gravis and the Lambert-Eaton myasthenic syndrome. 
 J Neurol Neurosurg Psychiat. 73:766-8.
												 
9. Kaminski HJ, Ruff RL et al. 1990. Why are eye muscles frequently involved in MG? 
 Neurology 40: 1663-1669.									
										
10. Barton JJ and Fouladvand M. 2000. Ocular aspects of MG. Semin Neurol. 20: 7-20.
 Diagnosis.

11. Vincent A and Newsom-Davis J. 1985. Acetylcholine receptor antibody as a 
 diagnostic test for MG: results in 153 validated and 2967 diagnostic assays. 
 J Neurol Neurosurg Psychiat. 48:1246-52.   
									
12. Engstrom JW 2004. Myasthenia gravis: diagnostic mimics. Semin Neurol. 24:141-7.	         
 Treatment.	          
      
13. Richman DP and Agius M. 2003. Treatment of autoimmune myasthenia gravis. 
 Neurology 61:1652-61.

14. Newsom-Davis J. 2003. Therapy in MG and Lambert-Eaton myasthenic syndrome. 
 Seminars in Neurology 23: 191-8.

15. Pinching AJ, Peters DK and Newsom-Davis J. 1976. Remission of MG following 
 plasma exchange. Lancet ii. 1373-6.
										
16. Wiles CM, Webster AD et al. 2002. Intravenous immunoglobulin in neurological 
 disease: a specialist review. J Neurol Neurosurg Psychiatry. 72:440-8.
					
17. Palace J, Newsom-Davis and Lecky B. 1998. A randomized double-blind trial of 
 prednisolone alone or in combination with azathioprine in MG. Neurology 50: 1778-1783.
      		            
18. Evoli A, Batocchi A-P, Minisci C, DiSchino C and Tonali P. 2001. Therapeutic 
 options in ocular MG. Neuromuscul Disord. 11:208-16.

19. Jaretzki A, Steinglass KM and Sonett JR. 2004. Thymectomy in the management of 
 MG. Semin Neurol. 24: 49-62.
									            
20. Gronseth GS, Barohn RJ al.  2000. Practice parameter: thymectomy for MG 
 (an evidence-based review) Neurology  55: 7-15.
			         				          
21. Dillon FX. 2004. Anesthesia issues in the perioperative management of MG. 
 Semin Neurol. 24:83-94.

								                                  
 Scientific.
 									    
22. Vincent A. 2002. Unravelling the pathogenesis of MG. Nature Revs Immunol. 2:797-804.

 
 Typical but 'seronegative' MG
 - Ie without anti-acetylcholine receptor antibodies.
							           
23. Vincent A, Bowen J, Newsom-Davis J and McConville J. 2003. Seronegative 
 generalised MG: clinical features, antibodies and their targets. Lancet Neurology. 
 2: 99-106.
 	
24. Hoch W, McConville J, Vincent A et al. 2001. Autoantibodies to the receptor 
 tyrosine kinase MuSK in patients with MG without anti-AChR antibodies. 
 Nature Medicine. 7: 365-8.
           
25. Evoli A et al 2003.Clinical correlates with anti-MuSK antibodies in generalized 
 seronegative MG. Brain 126:2304-11.
									       
26. Sanders D, Vincent A et al. 2003. Clinical aspects of MuSK antibody positive 
 seronegative MG. Neurology. 60:1978-80.
								       
27. Mossman S, Vincent A and Newsom-Davis J. 1986. Myasthenia gravis without 
 acetylcholine-receptor antibody: a distinct disease entity. Lancet. 1986; i:116-9.	
		        

 Historic.
		
28. Keynes Sir G, 1983. The history of MG. Medical History. V: 313 - 326.

29. Walker MB. 1934.Treatment of MG with physostigmine. Lancet i:1200.
	
30. Chang CC and Lee CY. 1963. Isolation of neurotoxins from Bungarus multicinctus, 
 and their modes of neuromuscular blocking action. Arch Int Pharmacodyn Ther. 
 144. 241-257.
 
31. Simpson JA 1960. MG; a new hypothesis. Scott Med J. 5: 419- 439.

32. Fambrough DM, Drachman DB and Satyamurti S. 1973. Neuromuscular junction in 
 MG; decreased acetylchloline receptors. Science 182: 293-5.
 
33. Patrick J and Lindstrom JM. 1973. Autoimmune response to acetylcholine receptor. 
 Science. 180: 871-2.
 
34. Compston DAS, Vincent A, Newsom-Davis J and Batchelor JR. 1980. Clinical, 
 pathological, HLA antigen and immunological evidence for disease heterogeneity in MG. 
 Brain 103: 579-601.


 The Lambert-Eaton myasthenic syndrome 
 (LEMS) Video  
 Prof John Newsom-Davis. 

41. O'Neill JH, Murray NM, Newsom-Davis J. 1988. The Lambert-Eaton myasthenic 
 syndrome. A review of 50 cases. Brain. 111 :577-96.
							        	
42. Newsom-Davis J and Lang B. 1999. pp 251-297 in Engel AG (Editor). Myasthenia 
 Gravis and myasthenic disorders. Oxford University Press  ISBN 0-19-512970-9.
			        
6. a very useful general website:  www.neuro.wustl.edu/neuromuscular/synmg.html


 Symptoms.
										              	
8. Wirtz PW, Verschuuren JJ et al. 2002. Difference in distribution of muscle weakness 
 between myasthenia gravis and the LEMS syndrome. J Neurol Neurosurg Psychiat. 
 73:766-8.


 Treatment.

14. Newsom-Davis J. 2003. Therapy in MG and LEMS. Seminars in Neurology 23: 191-8.
           
43. Bain PG, Vincent A, Lang B et al. 1996. Effects of IvIg on muscle weakness and 
 calcium channel antibodies in the LEMS. Neurology 47: 678-683.

		        				         
 Diagnosis.
                 
44. Motomura M, Lang B, Newsom-Davis J et al. 1995. An improved diagnostic assay for 
 Lambert-Eaton myasthenic syndrome. J Neurol Neurosurg Psychiat. 58:85-7.

	
 Aetiology and lung cancer in the LEMS.

45. Roberts A, Perera S, Lang B, Vincent A and Newsom-Davis J. 1985. Paraneoplastic 
 myasthenic syndrome IgG inhibits 45Ca2+ flux in a human small cell carcinoma line. 
 Nature 317: 737-9.
       
46. Maddison P, Newsom-Davis J, Mills KR and Souhami, RL. 1999. Favourable prognosis 
 in the Lambert-Eaton myasthenic syndrome and small cell lung carcinoma. 
 Lancet 353: 117-8.
									                                                                                                                                                         
47. Wirtz PW, Willcox N, Verschuuren JJGM et al. 2004. HLA and smoking in prediction 
 and prognosis of small cell lung cancer in autoimmune Lambert-Eaton myasthenic syndrome. 
 J Neuroimmunol. (in press).
											
48. Chalk CH, Newsom-Davis J, Spiro SG et al. 1990. Response of the Lambert-Eaton 
 myasthenic syndrome to treatment of associated small-cell lung carcinoma. Neurology. 
 40:1552-6.
   	  													       
49. Wirtz PW, Verschuuren JJ et al. 2004. Associated autoimmune diseases in patients 
 with the Lambert-Eaton myasthenic syndrome and their families. J Neurol. 251:1255-9.
 		   		  

 Historic LEMS papers.
           
50. Lambert EH, Eaton LM and Rooke ED. 1956. Defect of neuromuscular conduction 
 associated with malignant neoplasia. Am J Physiol. 187:612-3.
					         
51. Lang B, Newsom-Davis J, Wray D, Vincent A and Murray N. 1981. Autoimmune aetiology 
 for the myasthenic (Eaton-Lambert) syndrome. Lancet ii: 224-6.

		      
 3, 4 Diamino-pyridine.
					  
52. To get 3, 4 diamino-pyridine (3,4 DAP), Doctors - and only doctors - can approach the 
 Pharmacy Department, Radcliffe Infirmary, Woodstock Road, Oxford, OX2 6HE, 
 Tel 01865 224783.

	
 Congenital myasthenias video 
 Prof John Newsom-Davis. 

 NB none of the Congenital Myasthenias is autoimmune in any way, so 
 immuno-suppressive treatments and thymectomy are completely unsuitable 
 for them.
 
 NB watch the highlighted names for new progress in this fast-moving field.
    
61. Ohno K, Engel AG, Sine S. The spectrum of congenital myasthenia syndromes. 
 Mol Neurobiol 2002. 26:347-367.

62. Engel AG, Ohno K, and Sine SM.1999. Congenital myasthenic syndromes. 
 pp 205-228 in Engel AG (Ed). Myasthenia gravis and myasthenic disorders. 
 Oxford University Press ISBN 0-19-512970-9.

63. Newsom-Davis J and Beeson D. 2001. Myasthenia gravis and myasthenic syndromes; 
 in Disorders of Voluntary Muscle, 7th edition; eds Karpati G, Hilton-Jones D and Griggs R. 
 pp 650-675. Cambridge University Press.

64. Burke G, Cossins J, Maxwell S, Robb S, Nicolle M, Vincent A, Newsom-Davis J, 
 Palace J, Beeson D. 2004. Distinct phenotypes of congenital acetylcholine receptor 
 deficiency. Neuromusc Disord. 14:356-64.

65. Palace J, Wiles CM, Newsom-Davis J. 1991.  3,4-Diaminopyridine in the treatment 
 of congenital (hereditary) myasthenia. J Neurol Neurosurg Psychiat. 54:1069-72.  	        	           

66. Useful websites:
   
  On www.genetests.org there is a link via 'gene reviews' to an excellent 
  overview by Lochmuller.
 
  There is another at  
  www.neuro.wustl.edu/neuromuscular/synmg.html   


67. The Oxford Muscle Centre:

 Contact for pre-referral forms:    Somai.Man@orh.nhs.uk 

 For appointments:   claudia.cooper@orh.nhs.uk  Tel 01865 224097

 Chief Scientist/ address for completed preferral forms: 	Prof David Beeson,
 Neuroscience Group, Weatherall Institute for Molecular Medicine, Headington, 
 Oxford, OX3 9DS.