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Author (up) Itoh, Y.; Ohuchi, M.; Yoshida, I.; Ohmi, M. url  openurl
  Title [Surgical treatment of myasthenia gravis associated with Graves's disease] Type Journal Article
  Year 1992 Publication [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Abbreviated Journal Nihon Kyobu Geka Gakkai Zasshi  
  Volume 40 Issue 4 Pages 587-591  
  Keywords Adult; Female; Graves Disease/*complications/surgery; Humans; Male; Middle Aged; Myasthenia Gravis/complications/*surgery; Thymectomy; Thyroidectomy  
  Abstract During past 30 years, we experienced 253 patients who underwent surgery for myasthenia gravis. Among these patients, 9 were associated with Graves' disease. No patients had thymoma. Five patients underwent thymectomy after they had become euthyroid by medical treatment, though four patients required subtotal thyroidectomy before thymectomy. One patient developed myasthenic crisis following thyroidectomy and was treated with respirator for 5 days. But thymectomy was performed without myasthenic crisis in these four patients between 25 days and 60 days after thyroidectomy. They have been doing well and no see-saw phenomenon was presented. Thymectomy is safe and effective even in the patients with Graves's disease, and we recommend to perform it after they become euthyroid by medical or surgical treatment.  
  Address Division of Thoracic and Cardiovascular Surgery, Sendai National Hospital, Japan  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language Japanese Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0369-4739 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:1613289 Approved no  
  Call Number refbase @ user @ Serial 2216  
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