Pneumoencephalus and convulsions after ventriculoscopy: a potentially catastrophic complication
A nine-year-old boy with hydrocephalus underwent ventriculoscopy under general anesthesia. After introduction of ventriculoscope the patient had sudden bradycardia, hypotension, and shrinkage of ipsilateral cerebral hemisphere. The ventriculostomy was abandoned. At the end of anesthesia and endotrac...
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| Veröffentlicht in: | Journal of neurosurgical anesthesiology 1999-07, Vol.11 (3), p.200-202 |
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| creator | Saxena, S Ambesh, S P Saxena, H N Kumar, R |
| description | A nine-year-old boy with hydrocephalus underwent ventriculoscopy under general anesthesia. After introduction of ventriculoscope the patient had sudden bradycardia, hypotension, and shrinkage of ipsilateral cerebral hemisphere. The ventriculostomy was abandoned. At the end of anesthesia and endotracheal extubation, the patient developed generalized convulsions. Reexploration of wound did not reveal anything significant; however, postoperative CT scan of head showed massive pneumoencephalus. The patients received elective ventilation of lungs for 24 hours and made complete recovery. The authors describe the reasons for these complications and further management. |
| doi_str_mv | 10.1097/00008506-199907000-00008 |
| format | Article |
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After introduction of ventriculoscope the patient had sudden bradycardia, hypotension, and shrinkage of ipsilateral cerebral hemisphere. The ventriculostomy was abandoned. At the end of anesthesia and endotracheal extubation, the patient developed generalized convulsions. Reexploration of wound did not reveal anything significant; however, postoperative CT scan of head showed massive pneumoencephalus. The patients received elective ventilation of lungs for 24 hours and made complete recovery. The authors describe the reasons for these complications and further management.</description><identifier>ISSN: 0898-4921</identifier><identifier>DOI: 10.1097/00008506-199907000-00008</identifier><identifier>PMID: 10414676</identifier><language>eng</language><publisher>United States</publisher><subject>Bradycardia - etiology ; Brain Diseases - etiology ; Child ; Endoscopes ; Endoscopy - adverse effects ; Humans ; Hydrocephalus - surgery ; Hypotension - etiology ; Male ; Pneumocephalus - diagnostic imaging ; Pneumocephalus - etiology ; Pneumocephalus - therapy ; Respiration, Artificial ; Seizures - etiology ; Seizures - therapy ; Tomography, X-Ray Computed ; Ventriculostomy - adverse effects</subject><ispartof>Journal of neurosurgical anesthesiology, 1999-07, Vol.11 (3), p.200-202</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10414676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saxena, S</creatorcontrib><creatorcontrib>Ambesh, S P</creatorcontrib><creatorcontrib>Saxena, H N</creatorcontrib><creatorcontrib>Kumar, R</creatorcontrib><title>Pneumoencephalus and convulsions after ventriculoscopy: a potentially catastrophic complication</title><title>Journal of neurosurgical anesthesiology</title><addtitle>J Neurosurg Anesthesiol</addtitle><description>A nine-year-old boy with hydrocephalus underwent ventriculoscopy under general anesthesia. 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The authors describe the reasons for these complications and further management.</description><subject>Bradycardia - etiology</subject><subject>Brain Diseases - etiology</subject><subject>Child</subject><subject>Endoscopes</subject><subject>Endoscopy - adverse effects</subject><subject>Humans</subject><subject>Hydrocephalus - surgery</subject><subject>Hypotension - etiology</subject><subject>Male</subject><subject>Pneumocephalus - diagnostic imaging</subject><subject>Pneumocephalus - etiology</subject><subject>Pneumocephalus - therapy</subject><subject>Respiration, Artificial</subject><subject>Seizures - etiology</subject><subject>Seizures - therapy</subject><subject>Tomography, X-Ray Computed</subject><subject>Ventriculostomy - adverse effects</subject><issn>0898-4921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1LxDAQhnNQ3HX1L0hP3qpJ2iaNN1n8ggU96DmkyYStpE1N2oX998btKs5lmId5Z-BBKCP4hmDBb3GqusIsJ0IIzNOUH9AJWuJa1HkpKFmg8xg_ExW04mdoQXBJSsbZEsm3HqbOQ69h2Co3xUz1JtO-300utr5Psx0hZDvox9Dqyfmo_bC_y1Q2-DHBVjm3z7QaVRyDH7atTulucG1CKX-BTq1yES6PfYU-Hh_e18_55vXpZX2_yTWt2JgXFrOK1cpYagkXinHQDExlS0a4aQzllChguta2MboRFExhCWjRNFxxLIoVup7vDsF_TRBH2bVRg3OqBz9FyZIbRg-L9byog48xgJVDaDsV9pJg-SNU_gqVf0JnlKJXxx9T04H5F5xtFt8mU3cW</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>Saxena, S</creator><creator>Ambesh, S P</creator><creator>Saxena, H N</creator><creator>Kumar, R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990701</creationdate><title>Pneumoencephalus and convulsions after ventriculoscopy: a potentially catastrophic complication</title><author>Saxena, S ; Ambesh, S P ; Saxena, H N ; Kumar, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-3f06568adf2f179a67ec6ed5f4617dbd2721ae6c8cfbdcb92ed3f1ec9bb7a7093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Bradycardia - etiology</topic><topic>Brain Diseases - etiology</topic><topic>Child</topic><topic>Endoscopes</topic><topic>Endoscopy - adverse effects</topic><topic>Humans</topic><topic>Hydrocephalus - surgery</topic><topic>Hypotension - etiology</topic><topic>Male</topic><topic>Pneumocephalus - diagnostic imaging</topic><topic>Pneumocephalus - etiology</topic><topic>Pneumocephalus - therapy</topic><topic>Respiration, Artificial</topic><topic>Seizures - etiology</topic><topic>Seizures - therapy</topic><topic>Tomography, X-Ray Computed</topic><topic>Ventriculostomy - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saxena, S</creatorcontrib><creatorcontrib>Ambesh, S P</creatorcontrib><creatorcontrib>Saxena, H N</creatorcontrib><creatorcontrib>Kumar, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neurosurgical anesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saxena, S</au><au>Ambesh, S P</au><au>Saxena, H N</au><au>Kumar, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumoencephalus and convulsions after ventriculoscopy: a potentially catastrophic complication</atitle><jtitle>Journal of neurosurgical anesthesiology</jtitle><addtitle>J Neurosurg Anesthesiol</addtitle><date>1999-07-01</date><risdate>1999</risdate><volume>11</volume><issue>3</issue><spage>200</spage><epage>202</epage><pages>200-202</pages><issn>0898-4921</issn><abstract>A nine-year-old boy with hydrocephalus underwent ventriculoscopy under general anesthesia. 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| ispartof | Journal of neurosurgical anesthesiology, 1999-07, Vol.11 (3), p.200-202 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Bradycardia - etiology Brain Diseases - etiology Child Endoscopes Endoscopy - adverse effects Humans Hydrocephalus - surgery Hypotension - etiology Male Pneumocephalus - diagnostic imaging Pneumocephalus - etiology Pneumocephalus - therapy Respiration, Artificial Seizures - etiology Seizures - therapy Tomography, X-Ray Computed Ventriculostomy - adverse effects |
| title | Pneumoencephalus and convulsions after ventriculoscopy: a potentially catastrophic complication |
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