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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
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Materias: | |
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 |
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author | Miyamoto, Satoshi Ikeda, Go Akimoto, Ken Mashiko, Ryota Uemura, Kazuya Ishikawa, Eiichi |
author_facet | Miyamoto, Satoshi Ikeda, Go Akimoto, Ken Mashiko, Ryota Uemura, Kazuya Ishikawa, Eiichi |
author_sort | Miyamoto, Satoshi |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9062914 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-90629142022-05-03 Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report Miyamoto, Satoshi Ikeda, Go Akimoto, Ken Mashiko, Ryota Uemura, Kazuya Ishikawa, Eiichi Surg Neurol Int 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 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. Scientific Scholar 2022-03-31 /pmc/articles/PMC9062914/ /pubmed/35509561 http://dx.doi.org/10.25259/SNI_1196_2021 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Miyamoto, Satoshi Ikeda, Go Akimoto, Ken Mashiko, Ryota Uemura, Kazuya Ishikawa, Eiichi Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report |
title | Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report |
title_full | Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report |
title_fullStr | Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report |
title_full_unstemmed | Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report |
title_short | Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report |
title_sort | brainstem anesthesia during removal operation of ventriculoperitoneal shunt – a case report |
topic | Case Report |
url | 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 |
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