胸腺瘤相关性副肿瘤边缘性脑炎课件.pptxVIP

Thymoma-associated paraneoplastic encephalitis (TAPE);Up to 50% of patients with thymoma have paraneoplastic neurologic syndromes, the most common being myasthenia gravis.;病例;The patient received anticonvulsants, human intravenous immunoglobulin G (IgG) (400 g/kg daily), and corticosteroids (methylprednisolone 1 gm daily) for 5 days plus a prednisone taper with resolution of neurologic symptoms. Four weeks later, the patient underwent complete, en bloc resection of the mediastinal mass that was invading through the pericardium (type B3, World Health Organization classification,Masaoka stage I