Thymectomy for inducing remission in juvenile myasthenia gravis.
Pediatr Surg Int
; 27(6): 591-4, 2011 Jun.
Article
em En
| MEDLINE
| ID: mdl-21243366
ABSTRACT
PURPOSE:
The aim of this study was to determine the efficacy of thymectomy to induce remission in juvenile myasthenia gravis.METHODS:
A retrospective review of all patients undergoing a thymectomy for the treatment of juvenile myasthenia gravis was performed at a single tertiary referral centre between 1997 and 2009 (N = 8). All cases were moderate to severe cases (Osserman stage ≥ 2a). All operations were open. Median follow-up was 18 months (range 1-77). Postoperative progress was assessed using the De Filippi classification of remission. MAINRESULTS:
Only two minor complications were reported. Mean operative time was 120 min (range 80-290 min). Mean postoperative stay was 17 days (range 3-52 days). Remission was observed in 5 of 8 patients (62%) at last known follow up.CONCLUSIONS:
Spontaneous remission rates for myasthenia gravis are quoted to be between 20 and 29% while remission rates following thymectomy are 29-68% at 3 years. Although not all of our patients have had 3 years of follow up-the remission rate of 62% demonstrated by this study is encouraging. If reproducible over a larger series this provides evidence of the efficacy of thymectomy for treating juvenile myasthenia gravis in selected patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Timectomia
/
Miastenia Gravis
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Child
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Child, preschool
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Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article