Thymectomy during Myasthenic Crisis under Artificial Respiration

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Thymectomy during Myasthenic Crisis under Artificial Respiration.

A 34-year-old man was diagnosed with thymoma, which was evaluated preoperatively as stage II or III, with myasthenia gravis (MG). The size of the tumor was 70 × 44 × 80 mm. No invasion to neighboring organs was observed. Prednisolone was prescribed for stabilization of MG. However, a myasthenic crisis (MC) occurred, and intensive care, including emergent endobronchial intubation followed by art...

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Preoperative Anxiety in Patients With Myasthenia Gravis and Risk for Myasthenic Crisis After Extended Transsternal Thymectomy

A thymectomy can ameliorate the symptoms of myasthenia gravis (MG) and prevent the progression of ocular MG (OMG) to generalized MG (GMG). However, postoperative myasthenic crisis (POMC) is a serious post-thymectomy complication. Preoperative anxiety (POA) is common but typically neglected in MG patients. The association of POA with POMC has not yet been examined.From June 2007 to December 2013...

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Frequency of myasthenic crisis in relation to thymectomy in generalized myasthenia gravis: A 17-year experience

BACKGROUND Myasthenic crisis is the most serious life-threatening event in generalized myasthenia gravis (MG) patients. The objective of this study was to assess the long-term impact of thymectomy on rate and severity of these attacks in Iranian patients. METHODS We reviewed the clinical records from 272 myasthenic patients diagnosed and treated in our neurology clinic during 1985 to 2002. Fi...

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Management of myasthenic crisis.

Sir, I read with interest the recent article by Murthy et al. It provides excellent data regarding the management and outcome of patients with myasthenic crisis. I would like to make certain observations. First, Murthy et al have utilized the neostigmine test for confirmation of diagnosis. I would like to emphasize that the edrophonium (Tensilon) test is an excellent alternative for this purpos...

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Respiratory Care for Myasthenic Crisis

Myasthenic crisis is a life-threatening complication of myasthenia gravis (MG) that is traditionally defined as weakness of respiratory muscles that is severe enough to require intubation or artificial respiratory support (Jaretzki et al., 2000). Rapid and marked increase in limb and bulbar weakness without respiratory failure, however, should probably be also defined as crisis in a myasthenic ...

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ژورنال

عنوان ژورنال: Annals of Thoracic and Cardiovascular Surgery

سال: 2018

ISSN: 1341-1098,2186-1005

DOI: 10.5761/atcs.cr.17-00176