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Myasthenic Crisis After Resection of an Isolated Metastatic Thymoma of the Cervical Spine

 

作者: Nithi Selvaraj,   David Chad,   Thomas Smith,   David Weinberg,   John Weaver,  

 

期刊: Journal of Clinical Neuromuscular Disease  (OVID Available online 1999)
卷期: Volume 1, issue 1  

页码: 11-13

 

ISSN:1522-0443

 

年代: 1999

 

出版商: OVID

 

数据来源: OVID

 

摘要:

A 73-year-old man presented with cervical cord compression resulting from a metastatic spindle cell thymoma 10 years after undergoing thymectomy for thymoma-associated myasthenia gravis. After being virtually asymptomatic following thymectomy, his myasthenic symptoms returned 3 months after removal of the spinal metastasis, culminating in myasthenic crisis that required immunosuppression and plasma exchange This case shows that isolated, extrathoracic metastases without any mediastinal tumor may occur many years after apparent surgical cure of primary thymoma, and that myasthenia gravis may recur after surgical resection of a thymic metastasis.

 

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