Anesthetic Concerns for Large Intracranial Cyst Excision: Expect the Unexpected!

Abstract

The management of neurosurgical procedures for infants is always challenging for the anesthesiologists. We hereby present a case of a large ICSOL (intracranial space occupying lesion), suspected to be a hydatid cyst, which later turned out to be an infected ventricular cyst and intraoperative problems. We faced an unexpected problem of massive blood loss intraoperatively due to disease pathology. We conclude that a thorough preparation prior to operation of infected cystic lesion of the brain is required including anticipation of massive blood loss and its management. A slow decompression of the large cystic lesion should be done.




J Neurol Res. 2011;1(2):78-80
doi: https://doi.org/10.4021/jnr20e