Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report

Meningoencephalocele is herniation of cerebrospinal fluid, brain tissue and meninges through the skull defect. The anaesthetic management of occipital meningoencephalocele is challenging because of the difficulty in securing airway, prone position, blood loss and, perioperative care. The two major a...

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Main Authors: H.D. Pahuja, S.R. Deshmukh, S.A. Lande, S.R. Palsodkar, A.R. Bhure
Format: Article
Language:English
Published: Taylor & Francis Group 2015-10-01
Series:Egyptian Journal of Anaesthesia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110184915000306
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author H.D. Pahuja
S.R. Deshmukh
S.A. Lande
S.R. Palsodkar
A.R. Bhure
author_facet H.D. Pahuja
S.R. Deshmukh
S.A. Lande
S.R. Palsodkar
A.R. Bhure
author_sort H.D. Pahuja
collection DOAJ
description Meningoencephalocele is herniation of cerebrospinal fluid, brain tissue and meninges through the skull defect. The anaesthetic management of occipital meningoencephalocele is challenging because of the difficulty in securing airway, prone position, blood loss and, perioperative care. The two major aims of the anaesthesiologists while caring for children with occipital encephalocoele intraoperatively are to avoid premature rupture of the encephalocoele and to manage a possible difficult airway due to restricted neck movement and inability to achieve optimal position for intubation of the trachea. We report a case of giant occipital meningoencephalocele presented for surgical excision. Perioperative management of patients with giant meningoencephalocele may be challenging for both anaesthesiologist and neurosurgeon. These patients must be managed closely with an interdisciplinary approach.
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spelling doaj.art-f53961af51684f3faf47c5b2cdcc83a42022-12-22T02:04:57ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492015-10-0131433133410.1016/j.egja.2015.03.004Anaesthetic management of neonate with giant occipital meningoencephalocele: Case reportH.D. Pahuja0S.R. Deshmukh1S.A. Lande2S.R. Palsodkar3A.R. Bhure4NKPSIMS and LMH, Digdoh Hills, Hingana, Nagpur, Maharashtra, IndiaNKPSIMS and LMH, Digdoh Hills, Hingana, Nagpur, Maharashtra, IndiaNKPSIMS and LMH, Digdoh Hills, Hingana, Nagpur, Maharashtra, IndiaNKPSIMS and LMH, Digdoh Hills, Hingana, Nagpur, Maharashtra, IndiaDepartment of Anaesthesiology, NKPSIMS and LMH, Digdoh Hills, Hingana, Nagpur, Maharashtra, IndiaMeningoencephalocele is herniation of cerebrospinal fluid, brain tissue and meninges through the skull defect. The anaesthetic management of occipital meningoencephalocele is challenging because of the difficulty in securing airway, prone position, blood loss and, perioperative care. The two major aims of the anaesthesiologists while caring for children with occipital encephalocoele intraoperatively are to avoid premature rupture of the encephalocoele and to manage a possible difficult airway due to restricted neck movement and inability to achieve optimal position for intubation of the trachea. We report a case of giant occipital meningoencephalocele presented for surgical excision. Perioperative management of patients with giant meningoencephalocele may be challenging for both anaesthesiologist and neurosurgeon. These patients must be managed closely with an interdisciplinary approach.http://www.sciencedirect.com/science/article/pii/S1110184915000306MeningoencephaloceleOccipitalAnaesthesiaProne positionDifficult intubation
spellingShingle H.D. Pahuja
S.R. Deshmukh
S.A. Lande
S.R. Palsodkar
A.R. Bhure
Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report
Egyptian Journal of Anaesthesia
Meningoencephalocele
Occipital
Anaesthesia
Prone position
Difficult intubation
title Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report
title_full Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report
title_fullStr Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report
title_full_unstemmed Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report
title_short Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report
title_sort anaesthetic management of neonate with giant occipital meningoencephalocele case report
topic Meningoencephalocele
Occipital
Anaesthesia
Prone position
Difficult intubation
url http://www.sciencedirect.com/science/article/pii/S1110184915000306
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AT srpalsodkar anaestheticmanagementofneonatewithgiantoccipitalmeningoencephalocelecasereport
AT arbhure anaestheticmanagementofneonatewithgiantoccipitalmeningoencephalocelecasereport