Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report
Abstract Background Diagnosed intrathoracic meningocele is an uncommon complication of neurofibromatosis type 1. We report an anesthesia management for a rare case undergoing thoracoscopic resection of a huge intrathoracic meningocele. Case presentation A 51-year-old woman was scheduled for thoracos...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2024-02-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-024-00697-1 |
| _version_ | 1797275527735672832 |
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| author | Ryosuke Nakazawa Kenichi Masui Takahisa Goto |
| author_facet | Ryosuke Nakazawa Kenichi Masui Takahisa Goto |
| author_sort | Ryosuke Nakazawa |
| collection | DOAJ |
| description | Abstract Background Diagnosed intrathoracic meningocele is an uncommon complication of neurofibromatosis type 1. We report an anesthesia management for a rare case undergoing thoracoscopic resection of a huge intrathoracic meningocele. Case presentation A 51-year-old woman was scheduled for thoracoscopic meningectomy under general anesthesia. We monitored intrathecal pressure during anesthesia to prevent a decrease in intrathecal pressure. During surgery, the intrathecal pressure occasionally increased by around 5 cmH2O immediately after the insertion of the drainage tube and occasionally decreased by up to 10 cmH2O during the careful slow aspiration of the cerebrospinal fluid (CSF). The pressure rapidly recovered after the interruption of the procedures. She was discharged on postoperative day 4 without major complications. Conclusions The CSF pressure was fluctuated by procedures during thoracoscopic resection of a huge meningocele. A CSF pressure monitoring was useful to detect the sudden change of CSF pressure immediately, which can cause intracranial hemorrhage. |
| first_indexed | 2024-03-07T15:15:45Z |
| format | Article |
| id | doaj.art-12bc2f5c426649578182f752f2a95fe0 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-03-07T15:15:45Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-12bc2f5c426649578182f752f2a95fe02024-03-05T17:56:17ZengSpringerOpenJA Clinical Reports2363-90242024-02-011011410.1186/s40981-024-00697-1Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case reportRyosuke Nakazawa0Kenichi Masui1Takahisa Goto2Department of Anesthesiology, Yokohama City University School of MedicineDepartment of Anesthesiology, Yokohama City University School of MedicineDepartment of Anesthesiology, Yokohama City University School of MedicineAbstract Background Diagnosed intrathoracic meningocele is an uncommon complication of neurofibromatosis type 1. We report an anesthesia management for a rare case undergoing thoracoscopic resection of a huge intrathoracic meningocele. Case presentation A 51-year-old woman was scheduled for thoracoscopic meningectomy under general anesthesia. We monitored intrathecal pressure during anesthesia to prevent a decrease in intrathecal pressure. During surgery, the intrathecal pressure occasionally increased by around 5 cmH2O immediately after the insertion of the drainage tube and occasionally decreased by up to 10 cmH2O during the careful slow aspiration of the cerebrospinal fluid (CSF). The pressure rapidly recovered after the interruption of the procedures. She was discharged on postoperative day 4 without major complications. Conclusions The CSF pressure was fluctuated by procedures during thoracoscopic resection of a huge meningocele. A CSF pressure monitoring was useful to detect the sudden change of CSF pressure immediately, which can cause intracranial hemorrhage.https://doi.org/10.1186/s40981-024-00697-1Anesthesia managementHuge intrathoracic meningoceleNeurofibromatosis type 1Cerebrospinal fluid pressure monitoring |
| spellingShingle | Ryosuke Nakazawa Kenichi Masui Takahisa Goto Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report JA Clinical Reports Anesthesia management Huge intrathoracic meningocele Neurofibromatosis type 1 Cerebrospinal fluid pressure monitoring |
| title | Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report |
| title_full | Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report |
| title_fullStr | Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report |
| title_full_unstemmed | Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report |
| title_short | Anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele: a case report |
| title_sort | anesthesia management for thoracoscopic resection of a huge intrathoracic meningocele a case report |
| topic | Anesthesia management Huge intrathoracic meningocele Neurofibromatosis type 1 Cerebrospinal fluid pressure monitoring |
| url | https://doi.org/10.1186/s40981-024-00697-1 |
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