Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report

BACKGROUND: Brainstem anesthesia is a transient loss of brainstem function usually associated with retrobulbar block and rarely seen by neurosurgeons. CASE DESCRIPTION: Here, we report a case of brainstem anesthesia during shunt revision operation in a 79-year-old woman. Local anesthesia administere...

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Detalles Bibliográficos
Autores principales: Miyamoto, Satoshi, Ikeda, Go, Akimoto, Ken, Mashiko, Ryota, Uemura, Kazuya, Ishikawa, Eiichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062914/
https://www.ncbi.nlm.nih.gov/pubmed/35509561
http://dx.doi.org/10.25259/SNI_1196_2021
Descripción
Sumario:BACKGROUND: Brainstem anesthesia is a transient loss of brainstem function usually associated with retrobulbar block and rarely seen by neurosurgeons. CASE DESCRIPTION: Here, we report a case of brainstem anesthesia during shunt revision operation in a 79-year-old woman. Local anesthesia administered at the end of surgery was thought to have infiltrated the subarachnoid space through a burr hole, causing prolonged unconsciousness and cranial nerves’ impairment. Spontaneous resolution occurred during systemic support. CONCLUSION: As brainstem anesthesia may occur by leakage of local anesthetic through small burr holes, timing injections carefully can avoid this rare complication.

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