Outcomes after Thymectomy in Patients with Thymomatous Myasthenia Gravis

Author:

Rabiou Sani123,Toudou-Daouda Moussa45,Lakranbi Marwane36,Issoufou Ibrahim13,Ouadnouni Yassine36,Smahi Mohamed36

Affiliation:

1. Department of Thoracic Surgery, General Referral Hospital of Niamey, Niamey, Niger

2. Faculty of Medicine and Pharmacy, Abdou Moumouni University of Niamey, Niamey, Niger

3. Department of Thoracic Surgery, Hassan II University Teaching Hospital of Fez, Fez, Morocco

4. Department of Neurology, National Hospital of Niamey, Niamey, Niger

5. Department of Neurology, Hassan II University Teaching Hospital of Fez, Fez, Morocco

6. Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdallah University of Fez, Fez, Morocco

Abstract

Abstract Objectives This article describes the clinical outcomes after thymectomy in patients with thymomatous myasthenia gravis (T-MG) managed in the department of thoracic surgery of Hassan II University Hospital of Fez, Fez, Morocco. Materials and Methods We performed a retrospective analysis of medical records of 16 patients with T-MG between January 2009 and January 2017. Results There were 11 women and 5 men with a median age of 40 years at the thymectomy time and a median time of onset of symptoms to thymectomy of 12 months. At the preoperative evaluation (Myasthenia Gravis Foundation of America [MGFA] clinical classification), 7 patients were class II, 7 class III, and 2 class IV. Nine patients were in Masaoka stage I, and the remaining 7 patients stage II. We recorded one case of postoperative myasthenic crisis. At 3 years of follow-up after thymectomy, 6 patients had complete stable remission and the other 10 patients improved. Of these patients with clinical improvement, 6 patients were in MGFA class I and the remaining 4 patients class II. Conclusion The present study shows the beneficial effect of thymectomy in patients with T-MG. Postoperative clinical outcomes seem to be better when the preoperative severity of myasthenic symptoms is mild (MGFA class II).

Publisher

Scientific Scholar

Subject

Neurology (clinical),General Neuroscience

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3