Potential Neuroendoscopic Complications: An Anesthesiologist's Perspective

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.

[1]  S. Chowdhry,et al.  Intraventricular neuroendoscopy: complication avoidance and management. , 2013, World neurosurgery.

[2]  Muhammad Usman,et al.  Endoscopic third ventriculostomy for obstructive hydrocephalus. , 2013, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP.

[3]  H. Schroeder,et al.  Seizures in intracranial endoscopy in children , 2012, Journal of Pediatric Epilepsy.

[4]  H. Prabhakar,et al.  A retrospective analysis of perioperative complications during intracranial neuroendoscopic procedures: our institutional experience. , 2011, Neurology India.

[5]  T. Bouras,et al.  Complications of endoscopic third ventriculostomy. , 2011, Journal of neurosurgery. Pediatrics.

[6]  Daljit Singh,et al.  Perioperative complications of intraventricular neuroendoscopy: a 7-year experience. , 2010, Turkish neurosurgery.

[7]  M. Buchfelder,et al.  [Trigeminocardiac reflex in pituitary surgery. A prospective pilot study]. , 2008, Der Nervenarzt.

[8]  A. Alshaer,et al.  Anesthesia for third ventriculostomy. A report of 128 cases. , 2008, Middle East journal of anaesthesiology.

[9]  G. Jain,et al.  Endoscopic third ventriculostomy in infants. , 2006, Neurology India.

[10]  A. Deogaonkar,et al.  Anesthesia for Minimally Invasive Cranial and Spinal Surgery , 2006, Journal of neurosurgical anesthesiology.

[11]  E. Mortier,et al.  Value of Cushing reflex as warning sign for brain ischaemia during neuroendoscopy. , 2005, British journal of anaesthesia.

[12]  A. Gharabaghi,et al.  Trigeminocardiac reflex during skull base surgery: mechanism and management , 2005, Acta Neurochirurgica.

[13]  M. Özek,et al.  Ten Years of Experience with Pediatric Neuroendoscopic Third Ventriculostomy: Features and Perioperative Complications of 210 Cases , 2005, Journal of neurosurgical anesthesiology.

[14]  A. el-Dawlatly Blood biochemistry following endoscopic third ventriculostomy. , 2004, Minimally invasive neurosurgery : MIN.

[15]  J van Aken,et al.  Cardiovascular changes during endoscopic third ventriculostomy. , 2003, Minimally invasive neurosurgery : MIN.

[16]  R. Ramani Minimally Invasive Neurosurgery: Anesthetic Implications , 2003 .

[17]  B. Chandramouli,et al.  Intraoperative bradycardia and postoperative hyperkalemia in patients undergoing endoscopic third ventriculostomy. , 2002, Minimally invasive neurosurgery : MIN.

[18]  Joel O. Johnson,et al.  Venous Air Embolism during Endoscopic Strip Craniectomy for Repair of Craniosynostosis in Infants , 2001, Anesthesiology.

[19]  E. Vieta,et al.  Neuropsychological and psychiatric complications in endoscopic third ventriculostomy: a clinical case report , 2001, Journal of neurology, neurosurgery, and psychiatry.

[20]  A. Fried,et al.  Transient hyponatriemia complicated by seizures after endoscopic third ventriculostomy. , 2000, Minimally invasive neurosurgery : MIN.

[21]  A. el-Dawlatly,et al.  The incidence of bradycardia during endoscopic third ventriculostomy. , 2000, Anesthesia and analgesia.

[22]  S P Ambesh,et al.  Neuroendoscopic Procedures: Anesthetic Considerations for a Growing Trend: A Review , 2000, Journal of neurosurgical anesthesiology.

[23]  N. Buxton,et al.  Cerebral infarction after neuroendoscopic third ventriculostomy: case report. , 2000, Neurosurgery.

[24]  L. Caral,et al.  Anesthetic management of surgical neuroendoscopies: usefulness of monitoring the pressure inside the neuroendoscope. , 2000, Journal of neurosurgical anesthesiology.

[25]  C. Mottolese,et al.  [Ventriculostomy of the third ventricle and diabetes insipidus]. , 1999, Annales Francaise d'Anesthesie et de Reanimation.

[26]  R. Goodman,et al.  Air embolization in seated, sedated, spontaneously breathing, neurosurgical patients. , 1997, Anesthesiology.

[27]  K. Sastry,et al.  Contralateral massive acute subdural collection after endoscopic third ventriculostomy - a case report. , 1997, Minimally invasive neurosurgery : MIN.

[28]  K. Terui,et al.  [Respiratory arrest after a ventriculoscopic surgery in infants: two case reports]. , 1997, Masui. The Japanese journal of anesthesiology.

[29]  R. Abbott,et al.  A near-fatal complication of endoscopic third ventriculostomy: case report. , 1994, Neurosurgery.

[30]  B. L. Bauer,et al.  Minimally invasive endoscopic neurosurgery--a survey. , 1994, Acta neurochirurgica. Supplement.

[31]  A. Cohen Ventriculoscopic management of colloid cysts of the third ventricle , 1992 .