Meningomyelocele Repair in a Premature Newborn with Hydrocephalus: Anaesthetic Confronts and Management
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2017, Vol 6, Issue 3
Abstract
Deficit of neural tube closure in the initial phases of intrauterine development leads to a gamut of abnormalities ranging from spina-bifida occulta, a relatively benign condition, to encephalocele and meningomyelocele, an anomaly in vertebral bodies, spinal cord and sometimes involving brainstem (in cervical meningomyelocele). Meningomyelocele is the most common nonlethal malformation in the spectrum of neural tube deficits. The intrinsic challenges associated with the latter disorder warrants tailor-made approaches for providing anaesthesia to the requisite therapeutic surgical interventions. Pediatric patients pose a set of natural barriers because of their ever budding and maturing neurophysiological status, apart from the central neural disease process. Hence, in order to provide optimal neuro-anaesthetic care, the anaesthesiologist must have the knowledge of the outcomes of various pharmacologic interventions on cerebral aerodynamics apart from his professional experience in pediatric neuroanaesthesia. The current case report accounts for a challenging anaesthetic management in a premature newborn having hydrocephalus and lumbosacral meningomyelocele, presented for surgical repair within four hours of delivery.
Authors and Affiliations
Sandhya Ghodke, R N Hiremath, Sumeena Basandra
Keywords
Related Articles
- EP ID EP227402
- DOI -
- Views 97
- Downloads 0
Disposal of Bio-medical Waste in India
Potential Therapeutic Modalities in Cancer Gene Therapy
In spite of huge concerted efforts, the treatment of cancer, a disease frequently associated with genetic alterations caused due to hereditary or environmental factors, remains a challenge. The last few years have witnes...
Neuroimaging in Cycloserine Induced Neurotoxicity: A Rare Case Report
Tuberculosis (TB) is an infectious disease. There is an increasing burden of Drug Resistant TB (DR-TB) which is not only difficult to treat and associated with adverse events during its treatment. Cycloserine is a broad...
Correlation between Blood Lead Levels and Anaemia in Commercial Enamel Paint Industry Workers
Background: Lead causes acute, sub-acute or chronic poisoning through occupational exposure along with decrease in some trace elements like iron, whose absorption, distribution, metabolism and elimination being affec...
Extraskeletal Osteosarcoma of the Gluteal Region
Extraskeletal osteosarcomas are rare malignant mesenchymal tumors. They mimic many bone and cartilage forming soft tissue tumors and tumor like conditions. Most cases pursue an aggressive clinical course with high ra...