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Case Reports

Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report

Authors:

Amila Jayasinghe,

Teaching Hospital, Peradeniya, LK
About Amila
Professorial Surgical Unit
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Wasula Rathnaweera,

Teaching Hospital, Peradeniya, LK
About Wasula
Professorial Surgical Unit
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I. Wijeweera,

Teaching Hospital, Kandy, LK
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K. B. Galketiya ,

Teaching Hospital, Peradeniya, LK
About K. B.
Professorial Surgical Unit

Department of Surgery, Faculty of Medicine, University of Peradeniya
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V. Pinto

University of Peradeniya, LK
About V.
Department of Anaesthesiology and Critical Care, Faculty of Medicine
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Abstract

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.
How to Cite: Jayasinghe, A., Rathnaweera, W., Wijeweera, I., Galketiya, K.B. and Pinto, V., 2017. Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report. Sri Lanka Journal of Medicine, 26(2), pp.58–60. DOI: http://doi.org/10.4038/sljm.v26i2.41
Published on 28 Dec 2017.
Peer Reviewed

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