Anaesthetic concerns for large intracranial cyst excision: expect the unexpected!

  • Uma Hariharan Hariharan Department of Anaesthesiology and Intensive Care, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India.
  • Rakesh Garg | drrgarg@hotmail.com Department of Anaesthesiology and Intensive Care, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India.
  • Alka Gupta Department of Anaesthesiology and Intensive Care, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India.
  • Seema Wasnik Department of Anaesthesiology and Intensive Care, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India.
  • Mridula Pawar Department of Anaesthesiology and Intensive Care, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India.

Abstract

Neurosurgical procedures in infants poses various challenges such as difficulty in venous cannulation, securing invasive vascular lines, difficult airway, controlling intra-cranial tension, managing large fluid shifts to positioning- related issues and temperature maintenance. We hereby present an case of a large intracranial space occupying lesion, suspected to be a hydatid cyst, which later turned out to be an infected ventricular cyst and intraoperative problems. A thorough preparation prior to operation of infected cystic lesion of the brain is required including anticipation of massive blood loss and its management. A slow decompression of the large cystic lesion should be done.

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Author Biography

Rakesh Garg, Department of Anaesthesiology and Intensive Care, Postgraduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi

Assistant Professor

Published
2012-05-28
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Section
Case Reports
Keywords:
anaesthesia, intracranial cyst, massive bleeding.
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How to Cite
Hariharan, U. H., Garg, R., Gupta, A., Wasnik, S., & Pawar, M. (2012). Anaesthetic concerns for large intracranial cyst excision: expect the unexpected!. Clinics and Practice, 2(2), e50. https://doi.org/10.4081/cp.2012.e50