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...
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doaj-37f864e9244e49419778f0e647c6e9832020-11-25T01:30:39ZengThe Kandy Society of MedicineSri Lanka Journal of Medicine 2579-19902017-12-01262586010.4038/sljm.v26i2.4136Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case reportAmila Jayasinghe0Wasula Rathnaweera1I. Wijeweera2K. B. Galketiya3V. Pinto4Teaching Hospital, PeradeniyaTeaching Hospital, PeradeniyaTeaching Hospital, KandyTeaching Hospital, PeradeniyaUniversity of PeradeniyaJuvenile 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.https://sljm.sljol.info/articles/41juvenile myasthenia gravis, remifentanyl, thoracoscopic thymectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amila Jayasinghe Wasula Rathnaweera I. Wijeweera K. B. Galketiya V. Pinto |
spellingShingle |
Amila Jayasinghe Wasula Rathnaweera I. Wijeweera K. B. Galketiya V. Pinto Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report Sri Lanka Journal of Medicine juvenile myasthenia gravis, remifentanyl, thoracoscopic thymectomy |
author_facet |
Amila Jayasinghe Wasula Rathnaweera I. Wijeweera K. B. Galketiya V. Pinto |
author_sort |
Amila Jayasinghe |
title |
Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report |
title_short |
Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report |
title_full |
Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report |
title_fullStr |
Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report |
title_full_unstemmed |
Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report |
title_sort |
peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report |
publisher |
The Kandy Society of Medicine |
series |
Sri Lanka Journal of Medicine |
issn |
2579-1990 |
publishDate |
2017-12-01 |
description |
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. |
topic |
juvenile myasthenia gravis, remifentanyl, thoracoscopic thymectomy |
url |
https://sljm.sljol.info/articles/41 |
work_keys_str_mv |
AT amilajayasinghe perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport AT wasularathnaweera perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport AT iwijeweera perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport AT kbgalketiya perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport AT vpinto perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport |
_version_ |
1725090927565864960 |