Publication: Impact of muscle biopsy on diagnosis and management of children with neuromuscular diseases: A 10-year retrospective critical review
Issued Date
2018-03-01
Resource Type
ISSN
15315037
00223468
00223468
Other identifier(s)
2-s2.0-85021197462
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Pediatric Surgery. Vol.53, No.3 (2018), 489-492
Suggested Citation
Sivapol Thavorntanaburt, Jantima Tanboon, Surachai Likasitwattanakul, Tumtip Sangruchi, Ichizo Nishino, Monawat Ngerncham, Niramol Tantemsapya, Oranee Sanmaneechai Impact of muscle biopsy on diagnosis and management of children with neuromuscular diseases: A 10-year retrospective critical review. Journal of Pediatric Surgery. Vol.53, No.3 (2018), 489-492. doi:10.1016/j.jpedsurg.2017.06.006 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46910
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Title
Impact of muscle biopsy on diagnosis and management of children with neuromuscular diseases: A 10-year retrospective critical review
Abstract
© 2017 Elsevier Inc. Background: Muscle biopsy facilitates morphologic, biochemical, and ultrastructural analysis of muscle for the purpose of making definitive neuromuscular diagnosis. However, muscle biopsy is an expensive, invasive, time-consuming, and resource-dependent procedure. The need for general anesthesia in children also increases the risks associated with this procedure. The aim of this study was to investigate the benefits of muscle biopsies performed over a 10-year period, with a focus on indications, suspected and histopathologic diagnosis, and impact on diagnosis and management decisions. Methods: We retrospectively reviewed results of muscle biopsies performed in children at our center during the 2004 to 2014 study period. Clinical presentations, biopsy complications, pathologic results, and changes in management decision were reviewed and analyzed. Results: Biopsies from 92 patients were included. Mean age of patients was 7.1 years, and 66.3% were male. There were no perioperative complications, and definitive diagnosis was made in 74 patients. Regardless of whether pathologic changes were found or not, information gained from muscle biopsy significantly impacted prognosis and subsequent genetic counseling. Conclusions: Muscle biopsy is a safe and useful diagnostic tool in children suspected of having neuromuscular diseases, especially in those with muscle diseases. Definitive pathologic diagnosis helps to optimize treatment, counseling, and surveillance. The type of study and level of evidence: Study of diagnostic test: level 1.