Dissection of left phrenic nerve in a 29-year-old female patient with myasthenia gravis

ASVIDE ◽  
2017 ◽  
Vol 4 ◽  
pp. 209-209
Author(s):  
José Ramon Matilla ◽  
Walter Klepetko ◽  
Bernhard Moser
Keyword(s):  
Myasthenia Gravis ◽  
Female Patient ◽  
Phrenic Nerve

Myasthenia gravis and respiratory failure related to phrenic nerve lesion

2008 ◽  
Vol 38 (4) ◽  
pp. 1340-1341 ◽  
Author(s):  
Anabela Valadas ◽  
Mamede de Carvalho
Keyword(s):  
Respiratory Failure ◽  
Myasthenia Gravis ◽  
Phrenic Nerve ◽  
Nerve Lesion

Phrenic Nerve Conduction Time in Myasthenia Gravis

1986 ◽  
Vol 70 (s13) ◽  
pp. 70P-70P
Author(s):  
A. Mier ◽  
C. Brophy ◽  
J. Moxham ◽  
C.W.H. Havard ◽  
Green Malcolm
Keyword(s):  
Myasthenia Gravis ◽  
Phrenic Nerve ◽  
Nerve Conduction ◽  
Conduction Time

scholarly journals Endocrine assays in female patient with relapsing thymus cyst and myasthenia gravis

2015 ◽  
Author(s):  
Mara Carsote ◽  
Dana Terzea ◽  
Ionela Baciu ◽  
Alexandra Mihai ◽  
Dan Peretianu ◽  
...  
Keyword(s):  
Myasthenia Gravis ◽  
Female Patient

scholarly journals Postoperative Phrenic Nerve Palsy, A Cause Of Prolonged Mechanical Ventilation In Trans-Sternal Thymectomy

2015 ◽  
Vol 3 (3) ◽  
pp. 122-125
Author(s):  
Mona Sharma
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Failure ◽  
Myasthenia Gravis ◽  
Phrenic Nerve ◽  
Nerve Palsy ◽  
Prolonged Mechanical Ventilation ◽  
Myasthenic Crisis ◽  
Phrenic Nerve Palsy ◽  
Thoracic Epidural ◽  
Grade Iii

Post trans-sternal thymectomy, the patient may develop respiratory failure, usually due to myasthenic crisis or cholinergic crisis. These crises may prolong mechanical ventilation and impede on-table extubation. We report a case of respiratory failure due to unilateral phrenic nerve palsy in a case of myasthenia gravis. A 35 year old female, known case of myasthenia gravis was posted for trans-sternal thymectomy. Anaesthesia was induced with Propofol, Fentanyl and low dose of Atracurium. Thymoma was incasing right subclavian vein and was adherent with the pericardium, Masaoka Grade III. Blood loss was approximately 200ml. Immediate post operative period showed low tidal volume, tachypnea and tachycardia in spite of train of four ratio >0.9. Patient was kept intubated with suspicion of myasthenic crisis and the dose of Pyridostigmine was increased, but this lead to increased cholinergic symptoms. Pain was addressed with thoracic epidural analgesia. Chest radiograph done later in the evening showed elevated right hemi diaphragm, thereby, confirming the diagnosis of phrenic nerve palsy.   Difficult dissection in this case has resulted in right phrenic nerve palsy. Phrenic nerve palsy has to be considered as a cause of respiratory failure post sternotomy thymectomy, especially in case of Masaoka grade III and IV.DOI: http://dx.doi.org/10.3126/jkmc.v3i3.12249Journal of Kathmandu Medical CollegeVol. 3, No. 3, Issue 9, Jul.-Sep., 2014, Page: 122-125

Dissection of the thymic horns in a 22-year-old female patient with myasthenia gravis

ASVIDE ◽  
2017 ◽  
Vol 4 ◽  
pp. 210-210
Author(s):  
José Ramon Matilla ◽  
Walter Klepetko ◽  
Bernhard Moser
Keyword(s):  
Myasthenia Gravis ◽  
Female Patient

Phrenic Nerve Stimulation in Myasthenia Gravis

1990 ◽  
Vol 78 (s22) ◽  
pp. 16P-16P
Author(s):  
A. Mier ◽  
Malcolm Green
Keyword(s):  
Myasthenia Gravis ◽  
Nerve Stimulation ◽  
Phrenic Nerve ◽  
Phrenic Nerve Stimulation

Foreign Body in the Airway a Female Patient with Myasthenia Gravis

2015 ◽  
pp. 29-36 ◽  
Author(s):  
Ewa Malinowska ◽  
Jolanta Dąbrowska-Kruszewska ◽  
Anna Doboszyńska ◽  
Michał Stangiewicz ◽  
Karol Gugała ◽  
...  
Keyword(s):  
Foreign Body ◽  
Myasthenia Gravis ◽  
Female Patient
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