Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-64665
Petersen, J A; Jung, H H; Weller, M; Linnebank, M (2012). Autoimmune myasthenia gravis after sternal fracture. Case Reports in Neurology, 4(1):20-22.
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We report a 54-year-old woman who suffered a commotio cerebri, whiplash injury and a chest trauma with sternal fracture due to a high-velocity car accident. Two months later, she developed unilateral ptosis and blurred vision, which worsened during the day. Multiple diagnoses were suggested, ranging from thoracic outlet syndrome towards depression. Symptoms persisted and five years later, the patient consulted a neurologist. Laboratory analysis revealed significantly elevated levels of antibodies to acetylcholine receptors, and the diagnosis of myasthenia gravis was made. Speculatively, the damage of retrosternal thymic remnants due to a sternal fracture might have precipitated the condition or exacerbated subclinical disease.
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|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurology|
|DDC:||610 Medicine & health|
|Deposited On:||08 Oct 2012 12:53|
|Last Modified:||24 Nov 2012 12:25|
|Additional Information:||© 2012 S. Karger AG|
|Free access at:||PubMed ID. An embargo period may apply.|
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