Evidence map›Paper›PMID 33917535›Full record

ReviewJournal of clinical medicine2021

Drugs That Induce or Cause Deterioration of Myasthenia Gravis: An Update.

Shuja Sheikh, Usman Alvi, Betty Soliven, Kourosh Rezania

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06436768 (Effectiveness of Sugammadex Versus Neostigmine on the Reversal of Rocuronium-induced Neuromuscular Blockade in Patients With Myasthenia Gravis After Thoracoscopic Thymectomy), which is not on this map. Cited by 74 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06436768 nacompletednot on this mapstarted 2024, after this paper: background citation

Effectiveness of Sugammadex Versus Neostigmine on the Reversal of Rocuronium-induced Neuromuscular Blockade in Patients With Myasthenia Gravis After Thoracoscopic Thymectomy: A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorBeijing Tongren HospitalRan2024 to 2025Enrolled62ConditionsReversal of Neuromuscular BlockadeArmsSugammadex, Neostigmine
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Statins and Myasthenia Gravis: Clinical Implications and Pathogenesis.International journal of molecular sciences · 2026
    Review
  4. Muscles (Basel, Switzerland) · 2026
    Review
  5. Article
  6. Women and Myasthenia Gravis.Annals of Indian Academy of Neurology · 2026
    Article
  7. Article
  8. Italian recommendations for the diagnosis and treatment of myasthenia gravis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Respirology case reports · 2025
    Article
  20. Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Shuja SheikhDepartment of Neurology, University of Chicago, 5841 S. Maryland Avenue, MC 2030, Chicago, IL 60637, USA.
Usman AlviDepartment of Neurology, University of Chicago, 5841 S. Maryland Avenue, MC 2030, Chicago, IL 60637, USA.
Betty SolivenDepartment of Neurology, University of Chicago, 5841 S. Maryland Avenue, MC 2030, Chicago, IL 60637, USA.
Kourosh RezaniaDepartment of Neurology, University of Chicago, 5841 S. Maryland Avenue, MC 2030, Chicago, IL 60637, USA.ORCID 0000-0003-3986-5709
University of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myasthenia gravis (MG) is an autoimmune neuromuscular disorder which is characterized by presence of antibodies against acetylcholine receptors (AChRs) or other proteins of the postsynaptic membrane resulting in damage to postsynaptic membrane, decreased number of AChRs or blocking of the receptors by autoantibodies. A number of drugs such as immune checkpoint inhibitors, penicillamine, tyrosine kinase inhibitors and interferons may induce de novo MG by altering the immune homeostasis mechanisms which prevent emergence of autoimmune diseases such as MG. Other drugs, especially certain antibiotics, antiarrhythmics, anesthetics and neuromuscular blockers, have deleterious effects on neuromuscular transmission, resulting in increased weakness in MG or MG-like symptoms in patients who do not have MG, with the latter usually being under medical circumstances such as kidney failure. This review summarizes the drugs which can cause de novo MG, MG exacerbation or MG-like symptoms in nonmyasthenic patients.

Indexed as

aminoglycosideanesthesiaantibioticscheckpoint inhibitorcorticosteroidfluoroquinolonemacrolidemyasthenia gravissugammadextyrosine kinase inhibitor

Identifiers

PMID33917535
PMCPMC8038781
OpenAlexW3143903046

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.