keyword
https://read.qxmd.com/read/35735668/feasibility-of-nonintubated-anesthesia-for-lumboperitoneal-shunt-implantation
#21
JOURNAL ARTICLE
Abel Po-Hao Huang, Feng-Fang Tsai, Chien-Chia Chen, Tzong-Shiun Lee, Lu-Ting Kuo
Lumboperitoneal shunt (LPS) implantation is a cerebrospinal fluid diversion therapy for the communicating type of normal-pressure hydrocephalus (NPH); NPH mainly affects older adults. However, endotracheal intubation for mechanical ventilation with muscle relaxant increases perioperative and postoperative risks for this population. Based on knowledge from nonintubated thoracoscopic surgery, which has been widely performed in recent years, we describe a novel application of nonintubated anesthesia for LPS implantation in five patients...
June 16, 2022: Clinics and Practice
https://read.qxmd.com/read/35499145/course-of-headaches-and-predictive-factors-associated-with-analgesia-failure-following-spontaneous-subarachnoid-hemorrhage-a-prospective-cohort-study
#22
JOURNAL ARTICLE
Baptiste Bouchier, Geneviève Demarquay, Frédéric Dailler, Anne-Claire Lukaszewicz, Thomas Ritzenthaler
BACKGROUND: Headache is the most common presenting symptom of spontaneous subarachnoid hemorrhage and managing this acute pain can be challenging. The aim of this study was to describe the course of headaches and factors associated with analgesic failure in patients with spontaneous subarachnoid hemorrhage. METHODS: We conducted a prospective observational study in patients admitted to a neurocritical care unit (between April 2016 and March 2017) within 48 hours of spontaneous subarachnoid hemorrhage...
May 3, 2022: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/35431780/the-sheep-as-a-comprehensive-animal-model-to-investigate-interdependent-physiological-pressure-propagation-and-multiparameter-influence-on-cerebrospinal-fluid-dynamics
#23
JOURNAL ARTICLE
Nina Eva Trimmel, Anthony Podgoršak, Markus Florian Oertel, Simone Jucker, Margarete Arras, Marianne Schmid Daners, Miriam Weisskopf
The present study aims to develop a suitable animal model for evaluating the physiological interactions between cerebrospinal fluid (CSF) dynamics, hemodynamics, and abdominal compartment pressures. We seek to contribute to the enhanced recognition of the pathophysiology of CSF-dependent neurological disorders like hydrocephalus and the improvement of available treatment options. To date, no comprehensive animal model of CSF dynamics exists, and establishing an accurate model will advance our understanding of complex CSF physiology...
2022: Frontiers in Neuroscience
https://read.qxmd.com/read/35431747/perioperative-total-intravenous-anesthesia-in-a-child-with-walker-warburg-syndrome-a-case-report
#24
Wadeeah Bahaziq, Ahmed R Hassan, Majd Y Jubili, Abdulaziz Boker
Purpose: Walker-Warburg syndrome is a rare autosomal recessive congenital muscular dystrophy presenting with hydrocephalus, type II lissencephaly, cerebellar malformation, and ocular anomalies. Here, we describe the use of perioperative total intravenous anesthesia in a pediatric patient with Walker-Walburg syndrome. Clinical Features: A 2-month-old girl with Walker-Walburg syndrome was admitted for urgent ventriculoperitoneal shunt insertion. Anesthesia was induced using intravenous atropine (100 μg), ketamine (10 mg), and fentanyl (15 μg)...
April 2022: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/35400652/-lumbo-peritoneal-shunt-for-patients-with-idiopathic-normal-pressure-hydrocephalus-surgical-technique
#25
MULTICENTER STUDY
Naoyuki Samejima, Nobumasa Kuwana, Akira Watanabe, Mayumi Kubota, Yojiro Seki
The SINPHONI-2 study(a group of Japanese prospective multicenter cohort studies on the treatment of idiopathic normal pressure hydrocephalus[iNPH])showed the safety and efficacy of lumboperitoneal(L-P)shunt surgery for iNPH. A total of 660 probable iNPH patients underwent L-P shunt surgery at our NPH center between April 2009 and March 2020(age: 77.3 ± 6.2 years). Our surgical technique includes 1)general anesthesia, 2)use of the original drape, 3)upward insertion of the spinal tube through L2/3 via a paramedian puncture in patients with highly deformed lumbar spines, 4)posterior placement of a Codman Hakim programmable valve with SiphonguardTM , 5)inclination of the table at a 35° angle without position change and re-sterilization, 6)laparotomy via rectal muscle splitting, and 7)oblique maneuvering the peritoneal tube from the upper lateral to the lower medial sector...
March 2022: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/35400094/case-report-ventriculoperitoneal-shunting-and-radiation-therapy-treatment-in-a-cat-with-a-suspected-choroid-plexus-tumor-and-hypertensive-hydrocephalus
#26
Elizabeth Mahon, Aldara Eiras-Diaz, Sarah Mason, Fabio Stabile, Ane Uriarte
A 14-year-old male neutered domestic short-hair cat was presented for a history of behavioral changes and episodes of urinary retention. Neurological examination was consistent with a multifocal intracranial neuroanatomical localization, with suspected right sided lateralisation and suspected raised intracranial pressure (ICP). Brain magnetic resonance imaging (MRI) revealed an intraventricular multilobulated well-defined T2W-hyperintense and T1W-isointense, markedly contrast enhancing mass lesion within the dorsal aspect of the III ventricle extending into the left lateral ventricle, causing hypertensive obstructive hydrocephalus...
2022: Frontiers in Veterinary Science
https://read.qxmd.com/read/35029899/anesthetic-management-of-ventricular-peritoneal-shunt-implantation-in-osteogenesis-imperfecta-type-iib-a-case-report
#27
JOURNAL ARTICLE
Mayumi To, Kota Kamizato, Hayato Shinzato, Manabu Kakinohana
INTRODUCTION: Osteogenesis imperfecta (OI), a rare congenital disorder, has a risk of bone fracture and progressive bone deformity. OI type II is the most serious subtype, and very few reports on its anesthetic management exist. Patients face several anesthetic difficulties, of which easy fracturing of OI-affected bones is critical. Herein, we report our experience with the anesthetic management of a patient with OI type II. PATIENT CONCERNS AND DIAGNOSES: Through genetic testing, a 14-month-old girl (height: 45 cm, weight: 3...
January 7, 2022: Medicine (Baltimore)
https://read.qxmd.com/read/34994253/feasibility-of-awake-endoscopic-third-ventriculostomy-in-selected-patients-of-obstructive-hydrocephalus
#28
JOURNAL ARTICLE
Sushant K Sahoo, Pravin Salunke, Sivashanmugam Dhandapani, Anshul Siroliya, Kiran Jangra
BACKGROUND: Endoscopic third ventriculostomy (ETV) is usually performed under general anesthesia (GA) with proper head immobilization. However a few patients with hydrocephalus (HCP) may not be suitable for GA. Once the surgeon is familiar with endoscopic ventricular anatomy and gains adequate surgical experience with the procedure, ETV can be attempted under local anesthesia (LA) in selected patients. Here we discuss our experience of treating 32 patients of HCP with ETV under LA. METHODS: 32 symptomatic HCP patients with in the age range of 13 and 65 years, conscious, alert, cooperative and at high risk for GA owing to deranged liver or renal function, associated co-morbidities, pregnancy were considered for ETV under scalp block...
January 7, 2022: British Journal of Neurosurgery
https://read.qxmd.com/read/34718196/urgent-neurosurgical-interventions-in-the-covid-19-positive-pediatric-population
#29
JOURNAL ARTICLE
Shih-Shan Lang, Avi A Gajjar, Alexander M Tucker, Phillip B Storm, Raphia K Rahman, Peter J Madsen, Aidan O'Brien, Kathleen Chiotos, Todd J Kilbaugh, Jimmy W Huh
BACKGROUND: Urgent neurosurgical interventions for pediatric patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are rare. These cases pose additional stress on a potentially vulnerable dysregulated inflammatory response that can place the child at risk of further clinical deterioration. Our aim was to describe the perioperative course of SARS-CoV-2-positive pediatric patients who had required an urgent neurosurgical intervention. METHODS: We retrospectively analyzed pediatric patients aged ≤18 years who had been admitted to a quaternary children's hospital with a positive polymerase chain reaction test result for SARS-CoV-2 virus from March 2020 to October 2021...
February 2022: World Neurosurgery
https://read.qxmd.com/read/34562629/the-role-of-simultaneous-medical-conditions-in-idiopathic-normal-pressure-hydrocephalus
#30
JOURNAL ARTICLE
Nicola Valsecchi, Paolo Mantovani, Vito Antonio Piserchia, Giulia Giannini, Sabina Cevoli, Raffaele Aspide, Federico Oppi, David Milletti, Pietro Cortelli, Benjamin D Elder, Giorgio Palandri
BACKGROUND: Idiopathic normal pressure hydrocephalus (iNPH) is a chronic neurologic syndrome that affects the elderly population in a context of concomitant medical conditions. The aim of this study was to understand the significance of comorbidities using 4 validated and specific clinical scores: Cumulative Illness Rating Scale (CIRS), American Society of Anesthesiologists (ASA) score, Comorbidity Index (CMI), and Charlson Comorbidity Index (CCI). METHODS: From 2015 until 2019, the Bologna PRO-Hydro multidisciplinary team selected 63 patients for shunt surgery...
September 22, 2021: World Neurosurgery
https://read.qxmd.com/read/33882858/risk-factors-for-pediatric-surgical-site-infection-following-neurosurgical-procedures-for-hydrocephalus-a-retrospective-single-center-cohort-study
#31
JOURNAL ARTICLE
Miho Shibamura-Fujiogi, Jennifer Ormsby, Mark Breibart, Benjamin Warf, Gregory P Priebe, Sulpicio G Soriano, Thomas J Sandora, Koichi Yuki
BACKGROUND: Infection is a major complication following cerebral spinal fluid (CSF) diversion procedures for hydrocephalus. However, pediatric risk factors for surgical site infection (SSI) are currently not well defined. Because a SSI prevention bundle is increasingly introduced, the purpose of this study was to evaluate risk factors associated with SSIs following CSF diversion surgeries following a SSI bundle at a single quaternary care pediatric hospital. METHODS: We performed a retrospective cohort study of patients undergoing CSF diversion procedures from 2017 to 2019...
April 21, 2021: BMC Anesthesiology
https://read.qxmd.com/read/33721039/-arachnoiditis-following-spinal-anesthesia-case-report-and-review-of-the-literature
#32
JOURNAL ARTICLE
L Brandt, S Albert, U Artmeier-Brandt
A 61-year-old woman underwent a tension-free vaginal tape (TVT) operation due to stress incontinence. After technically difficult spinal anesthesia with two attempts the patient developed symptoms of nerve irritation, complained about neckache and headache and showed signs of agitation. The regimen was shifted to general anesthesia and surgery was performed. Because of postoperatively persistent headache and sensory disturbances an MRI scan of the lumbar spine was performed on the first postoperative day without pathological findings...
March 15, 2021: Der Anaesthesist
https://read.qxmd.com/read/33572890/dental-care-for-a-child-with-congenital-hydrocephalus-a-case-report-with-12-month-follow-up
#33
Yasser Alsayed Tolibah, Chaza Kouchaji, Thuraya Lazkani, Mohammad Tamer Abbara, Saffana Jbara, Ziad D Baghdadi
Hydrocephalus affects the central nervous system as a result of progressive ventricular dilatation from the accumulation of cerebrospinal fluid in the brain's lateral ventricles. This paper reports on the oral characteristics of a child with congenital hydrocephalus, discusses her complex dental care needs, and presents dental management of this case. Despite the complex and challenging dental needs, this child received dental treatment in a chairside approach without general anesthesia. A thorough knowledge of the patient's medical condition, together with expert clinical skills, was indispensable for managing the child and improving the quality and length of her life...
January 29, 2021: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/33418561/comparison-of-static-and-dynamic-cerebral-autoregulation-under-anesthesia-influence-in-a-controlled-animal-model
#34
COMPARATIVE STUDY
Alexander Ruesch, Deepshikha Acharya, Samantha Schmitt, Jason Yang, Matthew A Smith, Jana M Kainerstorfer
The brain's ability to maintain cerebral blood flow approximately constant despite cerebral perfusion pressure changes is known as cerebral autoregulation (CA) and is governed by vasoconstriction and vasodilation. Cerebral perfusion pressure is defined as the pressure gradient between arterial blood pressure and intracranial pressure. Measuring CA is a challenging task and has created a variety of evaluation methods, which are often categorized as static and dynamic CA assessments. Because CA is quantified as the performance of a regulatory system and no physical ground truth can be measured, conflicting results are reported...
2021: PloS One
https://read.qxmd.com/read/32949250/outpacing-movement-ultrafast-volume-coverage-in-neuropediatric-magnetic-resonance-imaging
#35
JOURNAL ARTICLE
Daniel Gräfe, Christian Roth, Margit Weisser, Matthias Krause, Jens Frahm, Dirk Voit, Franz Wolfgang Hirsch
BACKGROUND: Conventional MRI sequences are often affected in neuropediatric imaging by unavoidable movements. Therefore, children younger than 6 years usually have to be examined under sedation/anesthesia. A new real-time MRI technique with automatic slice advancement allows for motion-robust T2-weighted volume coverage of the whole brain within a few seconds in adults. OBJECTIVE: To evaluate to which extent the new volume coverage method can be used to visualize cerebrospinal fluid and reduce the need for anesthesia in children...
September 19, 2020: Pediatric Radiology
https://read.qxmd.com/read/32581490/full-mouth-rehabilitation-of-a-ventriculoperitoneal-shunt-treated-hydrocephalic-pediatric-patient-a-case-report
#36
Anish Poonia, Mm Dempsy Chengappa, Rajat Mitra, Parul Jain, Tarannum Ghavri
Hydrocephalus is characterized by accumulation of cerebrospinal fluid in the lateral ventricles of the brain, which results in progressive ventricular dilatation and an increased intracranial pressure. A ventriculoperitoneal shunt (VPS) is the most common treatment for hydrocephalus. Delayed development, behavioral disturbance, chronological changes in the eruption of their teeth, changes in the occlusion, greater accumulation of plaque, and increased caries prevalence are some of the clinical manifestations in these patients, which are encountered by a pediatric dentist...
January 2020: International Journal of Clinical Pediatric Dentistry
https://read.qxmd.com/read/32547826/fungal-mycotic-aneurysm-in-a-patient-with-aspergillus-terreus-chronic-meningoencephalitis
#37
Marcos Vinicius Sangrador-Deitos, Jimena Alejandra González Olvera, Heidy Adames Espinal, Graciela Cárdenas Hernández, Verónica Angeles Morales, José Luis Soto Hernandez
Background: Central nervous system involvement due to aspergillosis is an extremely serious entity, particularly in patients with severe neutropenia, hematological diseases, or post-transplant cases. Immunocompetent patients can be infected by intense exposure, particularly iatrogenic after invasive procedures. Case Description: We present the case of a 26-year-old male with a 1 year appendectomy background, which required epidural anesthesia. After that surgery, insidious headache presented, requiring mild analgesics for adequate control...
2020: Surgical Neurology International
https://read.qxmd.com/read/32095391/the-use-of-virtual-surgical-planning-for-reduction-cranioplasty
#38
Eli Saleh, Alexander Govshievich, Julian Justino, Alexander G Weil, Daniel E Borsuk
Hydrocephalic macrocephaly may occur as a result of untreated hydrocephalus. Reduction cranioplasty is the treatment of choice for these patients when the weight of their head interferes with normal development and negatively impacts quality of life. However, this procedure has several associated risks, including prolonged anesthesia, significant blood loss, and death. Virtual surgical planning (VSP) has been shown to be a useful adjunct for orthognathic and craniofacial surgery. The following report details the application and advantages of this technology in the setting of a reduction cranioplasty...
January 2020: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/31877393/intracardial-catheter-migration-of-a-ventriculoperitoneal-shunt-pathophysiology-and-interdisciplinary-management
#39
Sasan Darius Adib, Mario Lescan, Mirjam Renovanz, Martin U Schuhmann, Leonidas Trakolis, Malte Bongers, Marcos Tatagiba, Alexander Döbele, Gerd Grözinger
BACKGROUND: Intracardial migration of a ventriculoperitoneal (VP) shunt (ICMVP) is a rare complication that has been described in only single case reports. Here we report the successful interdisciplinary management of an ICMVP and provide a review of the relevant literature. CASE DESCRIPTION: A 38-year-old-patient with shunt-dependent hydrocephalus caused due to a Blake's pouch cyst presented in our hydrocephalus outpatient clinic with thoracic pain and nocturnal cough at 7 months after VP shunt implantation (with initially a proper location on computed tomography scan of the head and X-ray of the abdomen)...
March 2020: World Neurosurgery
https://read.qxmd.com/read/31874294/laparoscopic-assisted-ventriculoperitoneal-shunt-placement-and-reduction-in-operative-time-and-total-hospital-charges
#40
JOURNAL ARTICLE
Joshua S Catapano, Andrew W Mezher, Derrick J Wang, Alexander C Whiting, Michael A Mooney, Michael A Bohl, John P Sheehy, Joseph D DiDomenico, Christina E Sarris, Kris A Smith, Michael T Lawton, Joseph M Zabramski
OBJECTIVE: In ventriculoperitoneal shunt (VPS) placement, distal placement of the peritoneal catheter is typically performed by a neurosurgeon. More recently, laparoscopic-assisted (LA) placement of the distal peritoneal catheter by general surgeons has become common. This study examined whether LA placement of VPS (LAVPS) is associated with reduced operative time, lower hospital cost, and fewer distal revisions. METHODS: A retrospective review was performed for all patients who received a new VPS at our institution between 2013 and 2016...
December 21, 2019: World Neurosurgery
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