Open Access
CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 621-625
DOI: 10.4103/ajns.AJNS_37_17
Review Article

Potential neuroendoscopic complications: An anesthesiologist's perspective

Rudrashish Haldar
Department of Anaesthesiology, SGPGI, Lucknow
,
Sukhminder Singh Bajwa
1   Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Patiala, Punjab
› Institutsangaben
Preview

Endoscopic techniques are being used extensively used in the current times for the diagnosis and treatment of numerous intracranial pathologies. Although the morbidity associated with these procedures is lower as compared to other conventional surgical modalities, neuroendoscopic techniques have its own fair share of distinct complications such as bleeding, cerebrospinal fluid leakage, and subdural hematoma. However, certain specific complication fall within the purview of the attending anesthesiologist who should remain vigilant, anticipating these problems to occur and should be well equipped to deal with such contingencies. This review attempts to sensitize the anesthesiologists regarding the well-known as well as rare complications of intracranial neuroendoscopic procedures and to familiarize them with their diverse presentations, preventive strategies, and management protocols.

Financial support and sponsorship

Nil.




Publikationsverlauf

Artikel online veröffentlicht:
09. September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Dandy WE. An operative procedure for hydrocephalus. Bull Johns Hopkins Hosp 1922;33:189-90.
  • 2 Chowdhry SA, Cohen AR. Intraventricular neuroendoscopy: Complication avoidance and management. World Neurosurg 2013;79 2 Suppl:S15.e1-10.
  • 3 Yadav YR, Jaiswal S, Adam N, Basoor A, Jain G. Endoscopic third ventriculostomy in infants. Neurol India 2006;54:161-3.
  • 4 Schroeder HW, Gaab MR. Intracranial endoscopy. Neurosurg Focus 1999;6:e1.
  • 5 Schubert A, Deogaonkar A, Lotto M, Niezgoda J, Luciano M. Anesthesia for minimally invasive cranial and spinal surgery. J Neurosurg Anesthesiol 2006;18:47-56.
  • 6 Bauer BL, Hellwig D. Minimally invasive endoscopic neurosurgery – A survey. Acta Neurochir Suppl (Wien) 1994;61:1-12.
  • 7 Hellwig D, Grotenhuis JA, Tirakotai W, Riegel T, Schulte DM, Bauer BL, et al. Endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurg Rev 2005;28:1-34.
  • 8 Buxton N, Punt J. Cerebral infarction after neuroendoscopic third ventriculostomy: Case report. Neurosurgery 2000;46:999-1001.
  • 9 El-Dawlatly AA, Murshid WR, Elshimy A, Magboul MA, Samarkandi A, Takrouri MS. The incidence of bradycardia during endoscopic third ventriculostomy. Anesth Analg 2000;91:1142-4.
  • 10 El-Dawlatly A, Elgamal E, Murshid W, Alwatidy S, Jamjoom Z, Alshaer A. Anesthesia for third ventriculostomy. A report of 128 cases. Middle East J Anaesthesiol 2008;19:847-57.
  • 11 Anandh B, Madhusudan Reddy KR, Mohanty A, Umamaheswara Rao GS, Chandramouli BA. Intraoperative bradycardia and postoperative hyperkalemia in patients undergoing endoscopic third ventriculostomy. Minim Invasive Neurosurg 2002;45:154-7.
  • 12 Handler MH, Abbott R, Lee M. A near-fatal complication of endoscopic third ventriculostomy: Case report. Neurosurgery 1994;35:525-7.
  • 13 van Aken J, Struys M, Verplancke T, de Baerdemaeker L, Caemaert J, Mortier E. Cardiovascular changes during endoscopic third ventriculostomy. Minim Invasive Neurosurg 2003;46:198-201.
  • 14 Singh GP, Prabhakar H, Bithal PK, Dash HH. A retrospective analysis of perioperative complications during intracranial neuroendoscopic procedures: Our institutional experience. Neurol India 2011;59:874-8.
  • 15 Ganjoo P, Sethi S, Tandon MS, Singh D, Pandey BC. Perioperative complications of intraventricular neuroendoscopy: A 7-year experience. Turk Neurosurg 2010;20:33-8.
  • 16 Kalmar AF, Van Aken J, Caemaert J, Mortier EP, Struys MM. Value of Cushing reflex as warning sign for brain ischaemia during neuroendoscopy. Br J Anaesth 2005;94:791-9.
  • 17 Fàbregas N, López A, Valero R, Carrero E, Caral L, Ferrer E. Anesthetic management of surgical neuroendoscopies: Usefulness of monitoring the pressure inside the neuroendoscope. J Neurosurg Anesthesiol 2000;12:21-8.
  • 18 Ambesh SP, Kumar R. Neuroendoscopic procedures: Anesthetic considerations for a growing trend: A review. J Neurosurg Anesthesiol 2000;12:262-70.
  • 19 Filis A, Schaller B, Buchfelder M. Trigeminocardiac reflex in pituitary surgery. A prospective pilot study. Nervenarzt 2008;79:669-75.
  • 20 Koerbel A, Gharabaghi A, Samii A, Gerganov V, von Gösseln H, Tatagiba M, et al. Trigeminocardiac reflex during skull base surgery: Mechanism and management. Acta Neurochir (Wien) 2005;147:727-32.
  • 21 Baykan N, Isbir O, Gerçek A, Dagçnar A, Ozek MM. Ten years of experience with pediatric neuroendoscopic third ventriculostomy: Features and perioperative complications of 210 cases. J Neurosurg Anesthesiol 2005;17:33-7.
  • 22 Ramani R. Minimally invasive neurosurgery: Anesthetic implications. Semin Anesth Perioper Med Pain 2003;22:43-9.
  • 23 Singh G, Prabhakar H, Bithal P, Dash H. A retrospective analysis of perioperative complications during intracranial neuroendoscopic procedures: Our institutional experience. Ann Indian Acad Neurol 2011;59:465-6.
  • 24 Stone JG, Schwartz AE, Berman MF, Lenczewski VS, Ahmad SM, Bruce JN, et al. Air embolization in seated, sedated, spontaneously breathing, neurosurgical patients. Anesthesiology 1997;87:1244-7.
  • 25 Tobias JD, Johnson JO, Jimenez DF, Barone CM, McBride DS Jr. Venous air embolism during endoscopic strip craniectomy for repair of craniosynostosis in infants. Anesthesiology 2001;95:340-2.
  • 26 El-Dawlatly AA. Blood biochemistry following endoscopic third ventriculostomy. Minim Invasive Neurosurg 2004;47:47-8.
  • 27 Schroeder HW, Niendorf WR, Gaab MR. Complications of endoscopic third ventriculostomy. J Neurosurg 2002;96:1032-40.
  • 28 Vaicys C, Fried A. Transient hyponatriemia complicated by seizures after endoscopic third ventriculostomy. Minim Invasive Neurosurg 2000;43:190-1.
  • 29 Di Roio C, Mottolese C, Cayrel V, Berlier P, Artru F. Ventriculostomy of the third ventricle and diabetes insipidus. Ann Fr Anesth Reanim 1999;18:776-8.
  • 30 Keinera D, Gaabb MR, Schroederc HW, Baldauf J, Oertela J. Seizures in intracranial endoscopy in children. J Pediatr Epilepsy 2012;1:237-42.
  • 31 Enya S, Masuda Y, Terui K. Respiratory arrest after a ventriculoscopic surgery in infants: Two case reports. Masui 1997;46:416-20.
  • 32 Mohanty A, Anandh B, Reddy MS, Sastry KV. Contralateral massive acute subdural collection after endoscopic third ventriculostomy – A case report. Minim Invasive Neurosurg 1997;40:59-61.
  • 33 Cohen AR, Shucart WA. Ventriculoscopic management of colloid cysts of the third ventricle. In: Manwaring KH, Crone KR, editors. Neuroendoscopy. New York: Liebert; 1992. p. 109-17.
  • 34 Benabarre A, Ibáñez J, Boget T, Obiols J, Martínez-Aran A, Vieta E. Neuropsychological and psychiatric complications in endoscopic third ventriculostomy: A clinical case report. J Neurol Neurosurg Psychiatry 2001;71:268-71.