Delayed recovery of consciousness from anesthesia due to exacerbation of hydrocephalus caused by a ventriculoperitoneal shunt malfunction during general anesthesia in the prone position: a case report.
Delayed recovery from anesthesia
Prone position
Ventriculoperitoneal shunts
Journal
JA clinical reports
ISSN: 2363-9024
Titre abrégé: JA Clin Rep
Pays: Germany
ID NLM: 101682121
Informations de publication
Date de publication:
20 Aug 2024
20 Aug 2024
Historique:
received:
06
08
2024
accepted:
13
08
2024
revised:
12
08
2024
medline:
20
8
2024
pubmed:
20
8
2024
entrez:
19
8
2024
Statut:
epublish
Résumé
Dysfunction of ventriculoperitoneal (VP) shunts can lead to decreased levels of consciousness. We report a case of delayed emergence from anesthesia due to the malfunction of a VP shunt during neurosurgery in the prone position. A 75-year-old male with a history of VP shunt for a fourth ventricle obstruction underwent cerebral vascular anastomosis in the prone position. His preoperative level of consciousness was clear. The surgery under general anesthesia was completed without any particular issues. After discontinuation of anesthesia, the patient did not awaken for over an hour. Postoperative CT revealed exacerbated hydrocephalus, likely from VP shunt occlusion. After pumping the reservoir of the VP shunt, the patient regained consciousness. He was extubated and discharged from ICU on the second postoperative day with no neurological issues. For surgical patients with a VP shunt, anesthesia management must consider the risk of shunt malfunction due to patient positioning.
Sections du résumé
BACKGROUND
BACKGROUND
Dysfunction of ventriculoperitoneal (VP) shunts can lead to decreased levels of consciousness. We report a case of delayed emergence from anesthesia due to the malfunction of a VP shunt during neurosurgery in the prone position.
CASE PRESENTATION
METHODS
A 75-year-old male with a history of VP shunt for a fourth ventricle obstruction underwent cerebral vascular anastomosis in the prone position. His preoperative level of consciousness was clear. The surgery under general anesthesia was completed without any particular issues. After discontinuation of anesthesia, the patient did not awaken for over an hour. Postoperative CT revealed exacerbated hydrocephalus, likely from VP shunt occlusion. After pumping the reservoir of the VP shunt, the patient regained consciousness. He was extubated and discharged from ICU on the second postoperative day with no neurological issues.
CONCLUSION
CONCLUSIONS
For surgical patients with a VP shunt, anesthesia management must consider the risk of shunt malfunction due to patient positioning.
Identifiants
pubmed: 39160320
doi: 10.1186/s40981-024-00736-x
pii: 10.1186/s40981-024-00736-x
doi:
Types de publication
Journal Article
Langues
eng
Pagination
51Informations de copyright
© 2024. The Author(s).
Références
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