{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:35:48Z","timestamp":1784259348717,"version":"3.55.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sleep Sci"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Myasthenia gravis (MG) is a chronic autoimmune disease characterized by progressive weakness and skeletal muscle fatigue due to the destruction of acetylcholine receptors, causing an abnormality in the synaptic junction between innervation and muscle fibers. The treatment of patients with MG and obstructive sleep apnea (OSA) is positive pressure in the airway; however, the lack of adherence to the protocol can lead to increased morbidity. A known alternative treatment for OSA is the mandibular advancement device (MAD). The objective of the present report is to describe an emblematic case of a 50-year-old male patient with MG with sleep complaints and documented OSA, and his response to different treatment approaches.<\/jats:p>","DOI":"10.1055\/s-0044-1780502","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T22:59:02Z","timestamp":1715813942000},"page":"e466-e469","source":"Crossref","is-referenced-by-count":2,"title":["Treatment Approaches to Myasthenia Gravis and Obstructive Sleep Apnea: Case Report"],"prefix":"10.1055","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1302-1287","authenticated-orcid":false,"given":"Sergio Giamas","family":"Iafigliola","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thais Moura","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Departamento de Psicobiologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e2nia","family":"D'Almeida","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, SP, Brazil"},{"name":"Departamento de Psicobiologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalva","family":"Poyares","sequence":"additional","affiliation":[{"name":"Departamento de Psicobiologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cibele","family":"Dal-Fabbro","sequence":"additional","affiliation":[{"name":"Research Center of Le Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et de Services Sociaux (CIUSSS) du Nord-de-l'\u00eele-de-Montr\u00e9al, Universit\u00e9 de Montreal, Montreal, Quebec, Canada"},{"name":"Faculty of Dentistry, Universit\u00e9 de Montreal, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Tufik","sequence":"additional","affiliation":[{"name":"Departamento de Psicobiologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo A.","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo (Unifesp), S\u00e3o Paulo, SP, 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