The authors used plasmapheresis to prepare a 18-year-old male patient with myasthenia gravis for thymectomy. He had generalized muscular weakness and oculobulbar symptoms for 17 months. Plasmapheresis was performed three times on alternate day. After ...
The authors used plasmapheresis to prepare a 18-year-old male patient with myasthenia gravis for thymectomy. He had generalized muscular weakness and oculobulbar symptoms for 17 months. Plasmapheresis was performed three times on alternate day. After the last plasmaphersis the above symptoms were much improved so that anticholinesterase medication was discontinued. Three days later, thymectomy was performed and he was extubated immediately following operation without complication. Anticholinesterase therapy was resumed on the postoperative second day. We think that preoperative plasmapheresis is beneficial during the postoperative period.