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Huge Hydrocephalus in an Infant:Intraoperative Challenges


Affiliations
1 Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
2 Department of Neurosurgery, AIIMS, New Delhi, India
 

Huge hydrocephalus (head circumference greater than infant's height) is a rare entity. Intraoperative management in children is challenging for both surgery and anaesthesia owing to the altered anatomy and underlying pathophysiology. Increase in Intracranial Pressure (ICP) in these children may lead to herniation, respiratory and cardiac arrest, and possibly, death. Here, we report the largest reported case of hydrocephalus and associated intraoperative challenges.

Keywords

Anaesthesia, Congenital Hydrocephalus, Huge Hydrocephalus, Infant, Management.
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  • Huge Hydrocephalus in an Infant:Intraoperative Challenges

Abstract Views: 272  |  PDF Views: 74

Authors

Sandeep Kumar
Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
Varun Jain
Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
Keshav Goyal
Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
Shweta Kedia
Department of Neurosurgery, AIIMS, New Delhi, India
Ashish Bindra
Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
Girija Prasad Rath
Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India

Abstract


Huge hydrocephalus (head circumference greater than infant's height) is a rare entity. Intraoperative management in children is challenging for both surgery and anaesthesia owing to the altered anatomy and underlying pathophysiology. Increase in Intracranial Pressure (ICP) in these children may lead to herniation, respiratory and cardiac arrest, and possibly, death. Here, we report the largest reported case of hydrocephalus and associated intraoperative challenges.

Keywords


Anaesthesia, Congenital Hydrocephalus, Huge Hydrocephalus, Infant, Management.

References