Abstract International guidelines on the treatment of myasthenia gravis (MG) have been published but are not tailored to the Belgian situation. This publication presents recommendations from a group of Belgian MG experts for the practical management of MG in Belgium. It includes recommendations for treatment of adult patients with generalized myasthenia gravis (gMG) or ocular myasthenia gravis (oMG). Depending on the MG-related antibody a treatment sequence is suggested with therapies that can be added on if the treatment goal is not achieved. Selection of treatments was based on the level of evidence of efficacy, registration and reimbursement status in Belgium, common daily practice and the personal views and experiences of the authors. The paper reflects the situation in February 2024. In addition to the treatment considerations, other relevant aspects in the management of MG are addressed, including comorbidities, drugs aggravating disease symptoms, pregnancy, and vaccination. As many new treatments might potentially come to market, a realistic future perspective on the impact of these treatments on clinical practice is given. In conclusion, these recommendations intend to be a guide for neurologists treating patients with MG in Belgium.

Jan L. De Bleecker

Gauthier Remiche

Alicia Alonso-Jiménez

Vinciane Van Parys

Véronique Bissay

Stéphanie Delstanche

Kristl G. Claeys

Acta Neurologica Belgica

ACTA NEUROLOGICA BELGICA 经同行评审并每季度出版，发表临床和基础神经科学领域的原创文章，并报告不同合作伙伴协会科学会议的会议记录和摘要。内容包括评论、社论、评论文章、病例报告、感兴趣的神经图像、书评和致编辑的信。ACTA NEUROLOGICA BELGICA 是以下国家学会的官方期刊：BELGIAN NEUROLOGICAL SOCIETYBELGIAN SOCIETY FOR NEUROSCIENCEBELGIAN SOCIETY OF CLINICAL NEUROPHYSIOLOGYBELGIAN儿科神经病学学会比利时多发性硬化症研究组比利时中风委员会比利时头痛学会比利时神经病理学研究组

Acta Neurologica Belgica is a peer-reviewed journal published quarterly, focusing on original research articles in the fields of clinical and basic neuroscience. The journal also reports on scientific meeting records and abstracts from various partner associations. Content includes reviews, editorials, review articles, case reports, interesting neuroimaging studies, book reviews, and letters to the editor. Acta Neurologica Belgica is the official journal of the following national societies: Belgian Neurological Society, Belgian Society for Neuroscience, Belgian Society of Clinical Neurophysiology, Belgian Society of Pediatric Neurology, Belgian Multiple Sclerosis Research Group, Belgian Stroke Council, and Belgian Headache Society.

《Acta Neurologica Belgica》是一本经过同行评审的期刊，每季度出版一次，主要发表临床和基础神经科学领域的原创研究文章。此外，期刊还会报告不同合作伙伴协会的科学会议记录和摘要。内容涵盖评论、社论、综述文章、病例报告、神经影像学的相关研究、书评以及致编辑的信件。《Acta Neurologica Belgica》是以下国家学会的官方期刊：比利时神经病学学会、比利时神经科学学会、比利时临床神经生理学学会、比利时儿科神经病学学会、比利时多发性硬化症研究组、比利时中风委员会和比利时头痛学会。

Recommendations for the management of myasthenia gravis in Belgium

Recommendations for treatment of adult patients with generalized myasthenia gravis or ocular myasthenia gravis or ocular myasthenia gravis are presented, which intend to be a guide for neurologists treating patients with MG in Belgium.

Category	Quartile
医学	4
医学, 临床神经病学	4
医学, 神经科学	4

Recommendations for the management of myasthenia gravis in Belgium

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