Myasthenic Crisis Manifesting as Postoperative Respiratory Failure following Resection of Unsuspected Intrathoracic Thymic T-Cell Lymphoma during Thyroidectomy for an Adjacent Large Retrosternal Goiter.

Mohamed E Ahmed, Mohamed A Mahgoub, Mohamed G Alnedar, Seif I Mahadi, Maha Alzubeir, Lamyaa A M El Hassan, ElWaleed M Elamin, Ahmed Mohammed El Hassan

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In one paragraph

Article in European thyroid journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mohamed E AhmedKhartoum Teaching Hospital, Khartoum, Sudan ; Department of Medicine, Khartoum, Sudan.

Mohamed A MahgoubKhartoum Teaching Hospital, Khartoum, Sudan.

Mohamed G AlnedarKhartoum Teaching Hospital, Khartoum, Sudan.

Seif I MahadiKhartoum Teaching Hospital, Khartoum, Sudan ; Department of Medicine, Khartoum, Sudan.

Maha AlzubeirDepartment of Surgery, Faculty of Medicine, at, Khartoum, Sudan.

Lamyaa A M El HassanUniversity of Ahfad, Khartoum, Sudan.

ElWaleed M ElaminAlzaeim Alazhari University, Khartoum, Sudan.

Ahmed Mohammed El HassanUniversity of Khartoum, Khartoum, Sudan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A middle-aged female with a goiter of 10 years' duration presented with progressive pressure symptoms, nocturnal choking and dyspnea on exertion for 5 months. Physical examination demonstrated a large simple multinodular goiter. Imaging revealed a deep retrosternal goiter extending below the tracheal bifurcation with marked tracheal deviation. Total thyroidectomy was carried out via a cervical approach and a median sternotomy. Extubation was not possible, and the patient had to be kept intubated. She then went into a myasthenic crisis. Initial ventilatory support was followed by intravenous immunoglobulin, steroids and pyridostigmine. The patient had complete remission and was asymptomatic 18 months later. Histopathology showed a T-cell-rich thymoma in addition to a nodular colloid goiter.

Indexed as

GoiterMediastinal neoplasmsMyasthenia crisisSubsternal goiterThymoma

Identifiers

PMID25538904

DOI10.1159/000364822

PMCPMC4224263

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.