Perioperative Management of Minimally Invasive Thymectomy in a Pediatric Patient With Myasthenia Gravis After Respiratory Crisis: A Case Report

We report the anesthetic management of a 10-year-old girl with treatment-refractory, acetylcholine receptor antibody-positive juvenile myasthenia gravis (JMG) undergoing minimally invasive thymectomy after a recent myasthenic crisis. Anesthetic planning focused on avoiding neuromuscular blockers, minimizing stress, and preserving respiratory function. Paravertebral blocks with intercostal cryoablation provided postoperative analgesia-an approach not previously reported in pediatric JMG. This case illustrates the complexity of anesthetic care in JMG and the value of individualized, multidisciplinary planning to ensure safe and effective minimally invasive thymectomy in children. .