title: [Surgical treatment of myasthenia gravis in children].
abstract: The article deals with the treatment of myasthenia in 33 children whose ages ranged from 3 to 15 years. Myasthenia of moderate severity was diagnosed in 14, severe in 15, and extremely severe in 2 children. To make a precise diagnosis, loading, neostigmine methylsulfate, cold, and D-tubocurarine tests were conducted. Thymectomy was performed in 32 patients. The operation was carried out through a T-shaped sternotomy approach. Thymogenic myasthenia was verified in 31 patients and thymomogenic only in one patient. There were no fatal outcomes. The late-term results were studied in 12 patients in follow-up periods of 3 to 6 years. Adaptational activity of the patients, anticholinesterase agents and the results of stimulant electric myography served as the criterion in appraising the late-term results. Modern diagnostic methods and surgical intervention ensure a favourable result in 75% of patients.
authors.forename: Ia B
authors.initials: IaB
authors.lastname: Iudin
authors.forename: O G
authors.initials: OG
authors.lastname: Kogan
authors.forename: Iu D
authors.initials: IuD
authors.lastname: Prokopenko
authors.forename: I I
authors.initials: II
authors.lastname: Klepikov
authors.forename: G V
authors.initials: GV
authors.lastname: Vusik
authors.forename: K K
authors.initials: KK
authors.lastname: Fedorov
authors.forename: V V
authors.initials: VV
authors.lastname: Ivanov
authors.forename: V A
authors.initials: VA
authors.lastname: Diupin
authors.forename: O S
authors.initials: OS
authors.lastname: Merzeniuk
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009157:Myasthenia Gravis / Q000175:diagnosis / Q000601:surgery*; D013934:Thymectomy / Q000379:methods*; D013997:Time Factors
vernacular_title: Khirurgicheskoe lechenie miastenii u deteĭ.