[Pubmed] Robot-assisted extended thymectomy in juvenile myasthenia gravis: first case performed in Ecuador
Posté : 20 oct. 2025 12:00
J Surg Case Rep. 2025 Oct 18;2025(10):rjaf759. doi: 10.1093/jscr/rjaf759. eCollection 2025 Oct.
ABSTRACT
Myasthenia gravis (MG) is a chronic autoimmune disorder characterized by fatigable muscle weakness, typically caused by antibodies against acetylcholine receptors (AChR) or muscle-specific kinas. While it primarily affects adults, juvenile cases represent a significant minority and often pose greater therapeutic challenges. Extended thymectomy has proven beneficial in AChR-positive MG, reducing symptoms and immunosuppressive needs. Robotic-assisted thymectomy offers enhanced precision with lower morbidity. We report the first such procedure in Ecuador, performed on a 21-year-old woman with recurrent myasthenic crises. The surgery was uneventful, and follow-up showed marked clinical improvement without recurrence, highlighting the feasibility of advanced techniques in low-resource settings.
PMID:41113248 | PMC:PMC12535260 | DOI:10.1093/jscr/rjaf759
Source: https://pubmed.ncbi.nlm.nih.gov/4111324 ... 22+67771e2