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M. J. MADONICK, M.D.; M. RUBIN, M.D.; L. H. LEVINE, M.D.; W. KARLINER, M.D.

AMA Arch Intern Med. 1957;99(1):151-155.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A relationship between the thymus and myasthenia gravis has been accepted by a number of investigators.* However, the nature of this association is still unknown. Nevertheless, in patients with myasthenia gravis whose disease cannot be adequately controlled with medication, irradiation or removal of the thymus has been recommended. The results of surgery have been variable, but it is generally agreed that they are better in those patients who have a simple hyperplasia of the thymus than in those with a thymic tumor.

The appearance of myasthenia gravis after the removal of a thymoma is quite rare. A review of the literature has disclosed only four cases in which symptoms of myasthenia developed following excision of a thymoma.

Fershtand and Shaw ¹⁴ reported the onset of myasthenia gravis in a 27-year-old man who had a three-week history of chest pain and signs of superior vena caval obstruction. A mass extending along . . . [Full Text PDF of this Article]

Author Affiliations
New York

From the Neuropsychiatric (Dr. Madonick and Dr. Karliner), Thoracic Surgical (Dr. Rubin), and Medical (Dr. Levine) Services, The Morrisania City Hospital.

Footnotes
Submitted for publication May 23, 1956.

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