Video-assisted transcervical thymectomy for myasthenia gravis.

A 49-year-old female presents with ptosis, diplopia and dysphagia and is diagnosed with myasthenia gravis by electromyography (Figure 1). The patient reports some improvement of her symptoms with pyridostigmine, but due to increasing symptoms, she has been placed on prednisone and mycophenolate mofetil. She is otherwise healthy and takes no other medications. Computed tomography imaging shows normal thymic tissue with no thymoma. She is referred by her neurologist for consideration of thymectomy to treat her myasthenia gravis.