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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

A case of inflammatory demyelinating polyneuropathy with respiratory failure developing after multidisciplinary therapy for invasive thymoma

Saaka Hamanoa  Koichi Takayamaa  Yoichi Nakanishia  Saeko Inamizub  Tomomi Yonekawab  Jun-ichi Kirab 

aResearch Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University
bDepartment of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

ABSTRACT

A 41-year-old woman with invasive thymoma underwent a thymectomy and left panpleuropneumonectomy after intensive chemotherapy and radiation, and she was discharged from the hospital without complications. Two months later, the woman hospitalized as an emergency case with acute respiratory failure. At first we suspected myasthenia gravis as the cause of respiratory failure, but pyridostigmine failed to improve symptoms. Eventually a diagnosis of inflammatory demyelinating polyneuropathy was confirmed by precise neurological examination, including evoked electromyography. To our knowledge, this is a rare case of thymoma complicated with inflammatory demyelinating polyneuropathy.

KEYWORDS

Invasive thymoma  Guillain-Barré syndrome  Respiratory failure 

Received 18 Jun 2013 / Accepted 7 Nov 2013

AJRS, 3(2): 237-240, 2014

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