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...

Descripción completa

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
_version_ 1784699054428520448
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
work_keys_str_mv AT miyamotosatoshi brainstemanesthesiaduringremovaloperationofventriculoperitonealshuntacasereport
AT ikedago brainstemanesthesiaduringremovaloperationofventriculoperitonealshuntacasereport
AT akimotoken brainstemanesthesiaduringremovaloperationofventriculoperitonealshuntacasereport
AT mashikoryota brainstemanesthesiaduringremovaloperationofventriculoperitonealshuntacasereport
AT uemurakazuya brainstemanesthesiaduringremovaloperationofventriculoperitonealshuntacasereport
AT ishikawaeiichi brainstemanesthesiaduringremovaloperationofventriculoperitonealshuntacasereport

Ejemplares similares