Abstract
Hydrocephalus is caused by excessive ventricular cerebrospinal fluid (CSF), most often resulting in symptoms of increased intracranial pressure (ICP). Surgical management may include placement of a shunt (most commonly ventriculoperitoneal) or endoscopic third ventriculostomy. A thorough preoperative evaluation is essential to identify NPO status, relevant symptoms of increased ICP, and the presence of such comorbidities as latex allergy. Appropriate management of EVD is also important if present. The anesthesiologist needs to be aware of intraoperative complications such as surgical trauma, venous air embolus, and anaphylactic response to latex. Finally, it is not uncommon for patients with a programmable shunt to present for sedated MRI. Appropriate evaluation of the programmable shunt prior to entering the MRI scanner is important to prevent unexpected change in the rate of CSF drainage
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Agarwal N, et al. Slit ventricle syndrome: a case report of intermittent intracranial hypertension. J Child Neurol. 2013;28(6):784.
Baykan N, et al. Ten years experience with pediatric neuroendoscopic third ventriculostomy. J Neurosurg Anesthesiol. 2005;17:33–7.
Boyle TP, et al. Radiographic evaluation of pediatric cerebrospinal fluid shunt malfunction in the emergency setting. Pediatr Emerg Care. 2015;31:435–43.
Dasari R, et al. Unusual vision improvement in a case of slit ventricle syndrome after endoscopic third ventriculostomy. J Evid Based Med Healthc. 2015;13:2134–9.
Drake J. Ventriculostomy for treatment of hydrocephalus. Neurosurg Clin N Am. 1993;4:657–66.
El-Dawlatly A, et al. The incidence of bradycardia during endoscopic third ventriculostomy. Anesth Analg. 2000;91:1142–4.
Eldredge EA, et al. Postoperative cerebral edema occurring in children with slit ventricles. Pediatrics. 1997;99:625–30.
Fleisher LA. Anesthesia and uncommon disease. 6th ed. Philadelphia, PA: Elsevier; 2012.
Gaba DM, et al. Crisis management in anesthesiology, vol. 2e. Philadelphia: Elsevier Saunders; 2015.
Garton H, et al. Hydrocephalus. Pediatr Clin N Am. 2004;51:305–25.
Hamid R, Newfield P. Pediatric neuroanesthesia: hydrocephalus. Anesthesiol Clin N Am. 2001;19(2):207–18.
Lavinio A, et al. Magnetic field interactions in adjustable hydrocephalus shunts. J Neurosurg Pediatr. 2008;2:222–8.
Meier PM, et al. Endoscopic pediatric neurosurgery: implications for anesthesia. Pediatr Anesth. 2014;24:668–77.
Rendeli C, et al. Latex sensitization and allergy in children with myelomeningocele. Childs Nerv Syst. 2006;22:28–32.
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Aliason, I., Koh, J.L. (2020). Challenges During Surgery for Hydrocephalus. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_56
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DOI: https://doi.org/10.1007/978-3-030-17410-1_56
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