Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
Juvenile myasthenia gravis (JMG) is a rare autoimmune disease of children. Thymic hyperplasia is more common in JMG and patients with refractory symptoms benefit from thymectomy. This reports a successful thoracoscopic thymectomy without lung isolation in a 13-year old with JMG. This technique allow...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
The Kandy Society of Medicine
2017-12-01
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Series: | Sri Lanka Journal of Medicine |
Subjects: | |
Online Access: | https://sljm.sljol.info/articles/41 |
Summary: | Juvenile myasthenia gravis (JMG) is a rare autoimmune disease of children. Thymic hyperplasia is more common in JMG and patients with refractory symptoms benefit from thymectomy. This reports a successful thoracoscopic thymectomy without lung isolation in a 13-year old with JMG. This technique allowed faster recovery with less post-operative complications. The anaesthetic challenges associated with neuromuscular blocking agents were safely overcome by non muscle relaxant technique by the use of potent opioid remifentanyl combined with anaesthetic agents. |
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ISSN: | 2579-1990 |