{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:36:39Z","timestamp":1785231399197,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T00:00:00Z","timestamp":1425513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Predictive factors for myasthenic crisis after transsternal thymectomy have been reported, but little is known about myasthenic crisis after videoscopic thymectomy (MCAVT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We investigated 146 myasthenia gravis patients who underwent videoscopic thymectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with MCAVT had a lower forced vital capacity (FVC) (2.1 vs. 3.0 L, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) than those without. Low\u2010frequency repetitive nerve stimulation showed decremental responses of the orbicularis oculi (47.1% vs. 18.1%, <jats:italic>P<\/jats:italic>\u2009=\u20090.001) and nasalis muscles (54.1% vs. 21.4%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), which were more pronounced in patients with MCAVT than those without. According to multivariate analysis, FVC (OR 0.144, 95% confidence interval [CI], 0.044\u20130.479, <jats:italic>P<\/jats:italic>\u2009=\u20090.002) and decremental response of orbicularis oculi (odds ratio, 1.029; 95% CI, 1.001\u20131.058, <jats:italic>P<\/jats:italic>\u2009=\u20090.044) were independently associated with MCAVT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FVC and decremental response of orbicularis oculi were associated with MCAVT. <jats:italic>Muscle Nerve<\/jats:italic> <jats:bold>52<\/jats:bold>: 216\u2013220, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.24531","type":"journal-article","created":{"date-parts":[[2014,12,3]],"date-time":"2014-12-03T00:40:13Z","timestamp":1417567213000},"page":"216-220","source":"Crossref","is-referenced-by-count":23,"title":["Predictive factors for myasthenic crisis after videoscopic thymectomy in patients with myasthenia gravis"],"prefix":"10.1002","volume":"52","author":[{"given":"Hyung Seok","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Neurology Yonsei University College of Medicine 50 Yonsei\u2010ro, Seodaemun\u2010gu Seoul 120\u2010752 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hye Sun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Yonsei University College of Medicine Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Eun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology Yonsei University College of Medicine 50 Yonsei\u2010ro, Seodaemun\u2010gu Seoul 120\u2010752 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi Kyung","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery Yonsei University College of Medicine Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung Young","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery Yonsei University College of Medicine Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ha Young","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Neurology Yonsei University College of Medicine 50 Yonsei\u2010ro, Seodaemun\u2010gu Seoul 120\u2010752 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young\u2010Chul","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Neurology Yonsei University College of Medicine 50 Yonsei\u2010ro, Seodaemun\u2010gu Seoul 120\u2010752 Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology Yonsei University 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Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1966.tb45497.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2010.08.005"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2010.251041"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CND.0b013e3181660807"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.20061"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2011.01.011"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5953.309"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.86.1.67"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198007000-00006"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2003.07.036"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1280-y"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.3988\/jcn.2013.9.1.32"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1998.tb11015.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.11.040"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-830424"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2011.02564.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.04.043"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880120802"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000163988.28892.79"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2004.05.024"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000324915"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-011-9575-y"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.109.2.400"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt641"}],"container-title":["Muscle 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