Myasthenic Crisis in Thymoma : A Clinical Case Report

Authors

  • Novia Andansari Putri Department of Radiology, Faculty of Medicine, Mataram University/Nusa Tenggara Barat General Hospital, Mataram, Indonesia
  • Moulid Hidayat Department of Pulmonology, Faculty of Medicine, Mataram University/Nusa Tenggara Barat General Hospital, Mataram, Indonesia
  • Triana Dyah Cahyawati Department of Radiology, Faculty of Medicine, Mataram University/Nusa Tenggara Barat General Hospital, Mataram, Indonesia
  • Stevia Ariella Pasande Department of Pulmonology, Faculty of Medicine, Mataram University/Nusa Tenggara Barat General Hospital, Mataram, Indonesia

DOI:

https://doi.org/10.29303/jk.v14i3.6874

Keywords:

Thymoma, Myasthenic crisis, Paraneoplastic syndrome

Abstract

Thymoma is an anterior mediastinal tumor commonly associated with paraneoplastic syndromes, notably myasthenia gravis. This case report describes a 40-year-old man presenting with progressive dysphagia, cranial and limb muscle weakness, and severe dyspnea. Thoracic imaging revealed an anterior mediastinal mass suspected to be thymoma. The patient developed a myasthenic crisis requiring intubation and mechanical ventilation. Treatment included intravenous anticholinesterase, intravenous immunoglobulin, and thymectomy. Prompt radiological assessment and clinical diagnosis are crucial in managing such cases to prevent life-threatening respiratory complications.

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Published

2025-10-01