title: [Thoracic epidural anesthesia for mammaplasty in myasthenia gravis patient: case report].
abstract: OBJECTIVE
  Myasthenia gravis is a chronic autoimmune disease characterized by skeletal muscles weakness promoted by decreased acetylcholine receptors in the neuromuscular junction. This report aimed at describing a case of myasthenia gravis patient submitted to thoracic epidural anesthesia for cosmetic mammaplasty.
  
  
  METHODS
  Female patient, 51 years old, with myasthenia gravis and submitted to thoracic epidural anesthesia with bupivacaine and fentanyl. There was no respiratory depression. Patient was discharged 36 hours later.
  
  
  CONCLUSIONS
  Our case suggests epidural anesthesia as a single technique for myasthenia gravis patients, without mandatory tracheal intubation.
authors.affiliation: Unidade de Emergência Armando Lages, Santa Casa de Misericórdia de São Miguel dos Campos, Brazil. fabianotimbo@yahoo.com.br
authors.forename: Fabiano Timbó
authors.initials: FT
authors.lastname: Barbosa
authors.forename: Marta Cristiane Bezerra
authors.initials: MC
authors.lastname: Correia
authors.forename: Rafael Martins da
authors.initials: RM
authors.lastname: Cunha
authors.forename: Ismar Lima
authors.initials: IL
authors.lastname: Cavalcanti