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Predictive factors for myasthenic crisis after videoscopic thymectomy in patients with myasthenia gravis

DC Field Value Language
dc.contributor.author김승민-
dc.contributor.author배미경-
dc.contributor.author신하영-
dc.contributor.author이형석-
dc.contributor.author이혜선-
dc.contributor.author이효은-
dc.contributor.author정경영-
dc.contributor.author최영철-
dc.date.accessioned2018-03-26T16:43:20Z-
dc.date.available2018-03-26T16:43:20Z-
dc.date.issued2015-
dc.identifier.issn0148-639X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/156753-
dc.description.abstractINTRODUCTION: Predictive factors for myasthenic crisis after transsternal thymectomy have been reported, but little is known about myasthenic crisis after videoscopic thymectomy (MCAVT). METHODS: We investigated 146 myasthenia gravis patients who underwent videoscopic thymectomy. RESULTS: Patients with MCAVT had a lower forced vital capacity (FVC) (2.1 vs. 3.0 L, P < 0.001) than those without. Low-frequency repetitive nerve stimulation showed decremental responses of the orbicularis oculi (47.1% vs. 18.1%, P = 0.001) and nasalis muscles (54.1% vs. 21.4%, P < 0.001), which were more pronounced in patients with MCAVT than those without. According to multivariate analysis, FVC (OR 0.144, 95% confidence interval [CI], 0.044-0.479, P = 0.002) and decremental response of orbicularis oculi (odds ratio, 1.029; 95% CI, 1.001-1.058, P = 0.044) were independently associated with MCAVT. CONCLUSIONS: FVC and decremental response of orbicularis oculi were associated with MCAVT.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherJohn Wiley & Sons-
dc.relation.isPartOfMUSCLE & NERVE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyasthenia Gravis/diagnosis*-
dc.subject.MESHMyasthenia Gravis/surgery*-
dc.subject.MESHPostoperative Complications/diagnosis*-
dc.subject.MESHPostoperative Complications/etiology-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHThymectomy/adverse effects*-
dc.subject.MESHThymectomy/trends-
dc.subject.MESHVideo-Assisted Surgery/adverse effects*-
dc.subject.MESHVideo-Assisted Surgery/trends-
dc.subject.MESHYoung Adult-
dc.titlePredictive factors for myasthenic crisis after videoscopic thymectomy in patients with myasthenia gravis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Neurology-
dc.contributor.googleauthorHYUNG SEOK LEE-
dc.contributor.googleauthorHYE SUN LEE-
dc.contributor.googleauthorHYO EUN LEE-
dc.contributor.googleauthorMI KYUNG BAE-
dc.contributor.googleauthorKYUNG YOUNG CHUNG-
dc.contributor.googleauthorHA YOUNG SHIN-
dc.contributor.googleauthorYOUNG-CHUL CHOI-
dc.contributor.googleauthorSEUNG MIN KIM-
dc.identifier.doi10.1002/mus.24531-
dc.contributor.localIdA02170-
dc.contributor.localIdA04791-
dc.contributor.localIdA03312-
dc.contributor.localIdA03342-
dc.contributor.localIdA03571-
dc.contributor.localIdA04116-
dc.contributor.localIdA00653-
dc.contributor.localIdA01792-
dc.relation.journalcodeJ02278-
dc.identifier.eissn1097-4598-
dc.identifier.pmid25470186-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1002/mus.24531/abstract-
dc.subject.keywordmyasthenia gravis-
dc.subject.keywordmyasthenic crisis-
dc.subject.keywordprognosis-
dc.subject.keywordthymectomy-
dc.subject.keywordvideoscopic thymectomy-
dc.contributor.alternativeNameKim, Seung Min-
dc.contributor.alternativeNameBae, Mi Kyung-
dc.contributor.alternativeNameShin, Ha Young-
dc.contributor.alternativeNameLee, Hyung Seok-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.alternativeNameLee, Hyo Eun-
dc.contributor.alternativeNameChung, Kyung Young-
dc.contributor.alternativeNameChoi, Young Chul-
dc.contributor.affiliatedAuthorShin, Ha Young-
dc.contributor.affiliatedAuthorLee, Hyung Seok-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.contributor.affiliatedAuthorLee, Hyo Eun-
dc.contributor.affiliatedAuthorChung, Kyung Young-
dc.contributor.affiliatedAuthorChoi, Young Chul-
dc.contributor.affiliatedAuthorKim, Seung Min-
dc.contributor.affiliatedAuthorBae, Mi Kyung-
dc.citation.volume52-
dc.citation.number2-
dc.citation.startPage216-
dc.citation.endPage220-
dc.identifier.bibliographicCitationMUSCLE & NERVE, Vol.52(2) : 216-220, 2015-
dc.identifier.rimsid39882-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers

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