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CASE REPORT
Year : 2017  |  Volume : 14  |  Issue : 4  |  Page : 232-233

Bulbar myasthenia after 7 years of thymectomy


Department of Neurology, Apollo Main Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
A Panneer
Institute of Neurosciences, Apollo Hospitals, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/am.am_6_17

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A small proportion of thymoma patients without myasthenia gravis (MG) have been observed to develop MG after total removal of the thymoma. However, the underlying cause is not yet known due to the rarity of postoperative MG patients. We report a 49-year-old female in who developed MG, 7 years after surgical removal of thymoma. Computed tomography and magnetic resonance imaging showed no features of recurrent or metastatic thymoma. Administration of pyridostigmine bromide resulted in prompt improvement of myasthenic symptoms. Our observations indicate that postoperative follow-up care with monitoring of possible postoperative MG is necessary after thymectomy.


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