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1 - ( ) - *., :.... Thymoma, : Mestinon.. ( /).. : ( /) ( /). ( /) ( /) ( ). ( /) /. ( /). ( /) ( /) ( /). ( /). ( /) ( /). ( /) ( /). ( ) ( ). :.. : // : -// : smassahnia@yahoo.com *

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6 / /. References: 1.Wechsler AS, Olanow CW. Myasthenia gravis. Surg Clin North Am 1980; 60: Shield TW, editor. General thoracic surgery.7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010: p Blalock A, McGehee Harvey A, Ford FR, et al. The treatment of myasthenia gravis by removal of the thymus gland. JAMA 1941; 117: Williams CL, Lennon VA. Thymic B lymphocyte clones from patients with myasthenia gravis secrete monoclonal striational autoantibodies reacting with myosin, alpha actinin, or actin. J Exp Med 1986; 164: Gronseth GS, Barohn RJ. Practice Parameter: Thymectomy for Autoimmune Myasthenia Gravis (an evidence based review): report of Quality Standards Subcomimittee of the American Academy of Neurology. Neurology 2000; 55: Jaretzki A. Thymectomy for myasthenia gravis: Analysis of the controversies regarding technique and results. Neurology 1997; 48: 52S Bril V, Kojic J, Ilse WK, et al. Long term clinical outcome after transcervical thymectomy for myasthenia gravis. Ann thorac Surg 1998; 65: Thomas CE, Mayer SA, Gungor Y, et al. Myasthenic Crisis: Clinical features, Mortality, Complications and Risk factors Prolangod intubation. Neurology 1997; 48: de Perrot M, Liu J, Bril V, et al. Progrostic Significance of Thymomas in patients with Myasthenia gravis. Ann thorac Surg 2002; 74: Buckingham JM, Howard FM, Bernatz PE, et al. The valoues of thymectomy in Myasthenia gravis: a computer-assisted Matched study. Ann Surg 1976; 184: Ainsworth AP, Jochumsen KM, Pedersen JJ. Thymectomy in Myasthenia gravis. Ugerskr Laeger 1996; 158: Aghajanzadeh M, Khoshrang H, Mohammadzadeh A, et al. Thymectomy for Myasthenia Gravis: Prognostic Factors in 70 Patients. Asian Cardiovasc Thorac Ann 2007;15: Zielinski M, Hauer L, Hauer J, et al. Comparison of complete remission rates after 5 year follow-up of three different techniques of thymectomy for myasthenia gravis. Eur J Cardiothorac Surg 2010; 37: Park IK, Choi JG, Lee JG, et al. Complete stable remission after extended transsternal thymectomy in myasthenia gravis. Eur J Cardiothorac Surg 2006;30: Prokakis C, Koletsis E, Salakou S, et al. Dimitrios Dougenis, Modified Maximal Thymectomy for Myasthenia Gravis: Effect of Maximal Resection on Late Neurologic Outcome and Predictors of Disease Remission; Ann Thorac Surg 2009; 88: Jaretski A. Barohn RJ, Ernstoff RM, et al. Myasthenia gravis : Recommendations for clinical reseach standards. Task force of the Medical Scientific Advisory Board of myasthania graris Foundation of America. Ann Thorac Surg 2000; 70: Venuta F, Rendina EA, De Giacomo T, etal, Thymectomy for myasthenia yravis: A 27- year experience. Eur J Cardiothorac Surg 1999; 15: Ferguson MK. Transcervical Thymectomy. Semin Thorac Cardiovasc Surg 1999; 11: Urschel JD, Grewal RP. ThymecTomy for Myasthenia gravis. Postgrad Med J 1998; 74: Kattach H, Anastasiadis K, Cleuziou J, et al. Transsternal Thymectomy for Myasthenia Gravis: Surgical Outcome.Ann Thorac Surg 2006; 81: Philips LH, Torner JC, Anderson MS, et al. The epidemiology of Myasthenia gravis in central and western Virginia. Neurology 1992; 42: Budde JM, Morris CD, Gal AA, et al. Predictors of out come in Thy Mectomy. For Myastheuia gravis. Ann Thorac Surg 2001; 27: de perrot M, Liu J, Bril V, et al. Prognostic signficance of thymomas in Patients with myasthenia grawis. Aun Thorac Surg 2002; 74: Werneck LC, Cunha FM, Scola RH. Myasthenia gravis: a retrospective study comparing thymectomy to conservative treatment. Acta Neurol Scand 2000; 101: Masaoka A, Yamakawa Y, Niwa H, et al. Extended thymectomy for myasthenia gravis patients: a 20-years review. Ann Thorac Surg 1996; 62: Kirschner PA. Myastheania gravis and other parathymic syndroms. Chest Surg Clin Nam 1992; 2:

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