{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:42:51Z","timestamp":1765838571955,"version":"3.48.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,15]]},"DOI":"10.7759\/cureus.99322","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:40:11Z","timestamp":1765838411000},"source":"Crossref","is-referenced-by-count":0,"title":["Positional Respiratory Distress in Myasthenic Crisis: A Case of Undiagnosed Thymoma"],"prefix":"10.7759","author":[{"given":"Oscar","family":"Diaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noah  M","family":"Krupnick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yadaymis","family":"Hidalgo Jimenez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lazaro","family":"Basart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Graham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelin  P","family":"Jimenez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-024-12478-y","article-title":"Myasthenic crises are associated with negative long-term outcomes in myasthenia gravis","volume":"271","author":"M\u00fcck A","year":"2024","unstructured":"M\u00fcck A, Pfeuffer S, Mir L, et al.. Myasthenic crises are associated with negative long-term outcomes in myasthenia gravis. J Neurol. 2024, 271:5650-5. 10.1007\/s00415-024-12478-y","journal-title":"J Neurol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4103\/sjmms.sjmms_80_22","article-title":"Thymectomy in myasthenia gravis: a narrative review","volume":"10","author":"Aljaafari D","year":"2022","unstructured":"Aljaafari D, Ishaque N. Thymectomy in myasthenia gravis: a narrative review. Saudi J Med Med Sci. 2022, 10:97-104. 10.4103\/sjmms.sjmms_80_22","journal-title":"Saudi J Med Med Sci"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10112235","article-title":"Myasthenia gravis: epidemiology, pathophysiology and clinical manifestations","volume":"10","author":"Dresser L","year":"2021","unstructured":"Dresser L, Wlodarski R, Rezania K, Soliven B. Myasthenia gravis: epidemiology, pathophysiology and clinical manifestations. J Clin Med. 2021, 10:2235. 10.3390\/jcm10112235","journal-title":"J Clin Med"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-025-01515-2","article-title":"Weaning from mechanical ventilation in myasthenic crisis according to WEAN safe: most patients experience intermediate or prolonged weaning with no differences between early and late-onset compared to very-late onset myasthenia Gravis","volume":"15","author":"Marois C","year":"2025","unstructured":"Marois C, Combes A, Bouguerra M, et al.. Weaning from mechanical ventilation in myasthenic crisis according to WEAN safe: most patients experience intermediate or prolonged weaning with no differences between early and late-onset compared to very-late onset myasthenia Gravis. Ann Intensive Care. 2025, 15:95. 10.1186\/s13613-025-01515-2","journal-title":"Ann Intensive Care"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1385\/NCC:3:3:189","article-title":"Myasthenic crisis","volume":"3","author":"Lacomis D","year":"2005","unstructured":"Lacomis D. Myasthenic crisis. Neurocrit Care. 2005, 3:189-94. 10.1385\/NCC:3:3:189","journal-title":"Neurocrit Care"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12974-022-02448-4","article-title":"Independent risk factors for myasthenic crisis and disease exacerbation in a retrospective cohort of myasthenia gravis patients","volume":"19","author":"Nelke C","year":"2022","unstructured":"Nelke C, Stascheit F, Eckert C, et al.. Independent risk factors for myasthenic crisis and disease exacerbation in a retrospective cohort of myasthenia gravis patients. J Neuroinflammation. 2022, 19:89. 10.1186\/s12974-022-02448-4","journal-title":"J Neuroinflammation"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/mus.27832","article-title":"Myasthenic crisis","volume":"68","author":"Claytor B","year":"2023","unstructured":"Claytor B, Cho SM, Li Y. Myasthenic crisis. Muscle Nerve. 2023, 68:8-19. 10.1002\/mus.27832","journal-title":"Muscle Nerve"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.31557\/apjcc.2024.9.2.353-356","article-title":"Thymoma: a comprehensive review of this indolent anterior mediastinal tumor","volume":"9","author":"Kumawat MK","year":"2024","unstructured":"Kumawat MK, Sharma N, lal Jakhar S, Kumar HS, Kumar R. Thymoma: a comprehensive review of this indolent anterior mediastinal tumor. APJCC. 2024, 9:353-6. 10.31557\/apjcc.2024.9.2.353-356","journal-title":"APJCC"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-2019-thym-05","article-title":"When to suspect a thymoma: clinical point of view","volume":"12","author":"Minervini F","year":"2020","unstructured":"Minervini F, Kocher GJ. When to suspect a thymoma: clinical point of view. J Thorac Dis. 2020, 12:7613-8. 10.21037\/jtd-2019-thym-05","journal-title":"J Thorac Dis"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.181.6.1811504","article-title":"Invasive thymoma","volume":"181","author":"Truong MT","year":"2003","unstructured":"Truong MT, Sabloff BS, Gladish GW, Whitman GJ, Munden RF. Invasive thymoma. AJR Am J Roentgenol. 2003, 181:1504. 10.2214\/ajr.181.6.1811504","journal-title":"AJR Am J Roentgenol"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2023.09.005","article-title":"Myasthenic crisis in thymoma-associated myasthenia gravis: a multicenter retrospective cohort study","volume":"33","author":"Huan X","year":"2023","unstructured":"Huan X, Ruan Z, Zhao R, et al.. Myasthenic crisis in thymoma-associated myasthenia gravis: a multicenter retrospective cohort study. Neuromuscul Disord. 2023, 33:782-7. 10.1016\/j.nmd.2023.09.005","journal-title":"Neuromuscul Disord"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.3892\/ol.2016.4528","article-title":"Myasthenia gravis in patients with thymoma affects survival rate following extended thymectomy","volume":"11","author":"Zhang Z","year":"2016","unstructured":"Zhang Z, Cui Y, Jia R, Xue L, Liang H. Myasthenia gravis in patients with thymoma affects survival rate following extended thymectomy. Oncol Lett. 2016, 11:4177-82. 10.3892\/ol.2016.4528","journal-title":"Oncol Lett"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410170304","article-title":"Myasthenia gravis: reactivation of clinical disease and of autoimmune factors after discontinuation of long-term azathioprine","volume":"17","author":"Hohlfeld R","year":"1985","unstructured":"Hohlfeld R, Toyka KV, Besinger UA, Gerhold B, Heininger K. Myasthenia gravis: reactivation of clinical disease and of autoimmune factors after discontinuation of long-term azathioprine. Ann Neurol. 1985, 17:238-42. 10.1002\/ana.410170304","journal-title":"Ann Neurol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2024.03.010","article-title":"Mycophenolate and methotrexate are better tolerated than azathioprine in myasthenia gravis","volume":"38","author":"Dodd KC","year":"2024","unstructured":"Dodd KC, Ahmed R, Ambrose P, et al.. Mycophenolate and methotrexate are better tolerated than azathioprine in myasthenia gravis. Neuromuscul Disord. 2024, 38:51-7. 10.1016\/j.nmd.2024.03.010","journal-title":"Neuromuscul Disord"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.07.29","article-title":"Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience","volume":"11","author":"Galway U","year":"2019","unstructured":"Galway U, Zura A, Khanna S, Wang M, Turan A, Ruetzler K. Anesthetic considerations for bronchoscopic procedures: a narrative review based on the Cleveland Clinic experience. J Thorac Dis. 2019, 11:3156-70. 10.21037\/jtd.2019.07.29","journal-title":"J Thorac Dis"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-22-1391","article-title":"Extracorporeal membrane oxygenation in the surgical management of large mediastinal masses: a narrative review","volume":"15","author":"Wherley EM","year":"2023","unstructured":"Wherley EM, Gross DJ, Nguyen DM. Extracorporeal membrane oxygenation in the surgical management of large mediastinal masses: a narrative review. J Thorac Dis. 2023, 15:5248-55. 10.21037\/jtd-22-1391","journal-title":"J Thorac Dis"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)64915-5","article-title":"Mediastinal mass and tracheal obstruction during general anesthesia","volume":"63","author":"Prakash UB","year":"1988","unstructured":"Prakash UB, Abek MD, Hubmayr RD. Mediastinal mass and tracheal obstruction during general anesthesia. Mayo Clin Proc. 1988, 63:1004-11. 10.1016\/S0025-6196(12)64915-5","journal-title":"Mayo Clin Proc"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/474512","article-title":"Thymoma in myasthenia gravis: from diagnosis to treatment","volume":"2011","author":"Romi F","year":"2011","unstructured":"Romi F. Thymoma in myasthenia gravis: from diagnosis to treatment. Autoimmune Dis. 2011, 2011:474512. 10.4061\/2011\/474512","journal-title":"Autoimmune Dis"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/427602-positional-respiratory-distress-in-myasthenic-crisis-a-case-of-undiagnosed-thymoma","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:40:12Z","timestamp":1765838412000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/427602-positional-respiratory-distress-in-myasthenic-crisis-a-case-of-undiagnosed-thymoma"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,15]]},"references-count":18,"URL":"https:\/\/doi.org\/10.7759\/cureus.99322","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,15]]}}}