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neurosurgery arrhythmia

Victor E Staartjes, Shiva A Schillevoort, Patricia G Blum, J Peter van Tintelen, Wouter E Kok, Marc L Schröder
OBJECTIVE: Intraoperative cardiac arrest (CA) is usually attributable to pre-existing disease or intraoperative complications. In rare cases, intraoperative stress can demask certain genetic diseases, such as catecholaminergic polymorphic ventricular tachycardia (CPVT). It is essential that neurosurgeons be aware of the etiologies, risk factors, and initial management of CA during surgery with the patient in the prone position. METHODS: We present a case of CA directly after spinal fusion for lumbar spondylolisthesis and review the literature on cardiac arrests during spinal neurosurgery in the prone position...
July 2018: World Neurosurgery
Vladimir Mirchevski, Elizabeta Zogovska, Aleksandar Chaparoski, Venko Filipce, Milenko Kostov, Mirko Mishel Mirchevski
The aim of this study is to show the various possibilities to treat this rare malformation, accentuating the results of the early surgical treatment before complications. MATERIAL: The authors present 8 cases of patients with subcutaneous arteriovenous malformations, 5 females and 3 males (age of 7, 13, 19, 23, 27, 52 and 58 years) treated in the period of 1999 until 2015 at the Clinic for Neurosurgery and the Clinic for Plastic, Aesthetic and Reconstructive Surgery in Skopje, Republic of Macedonia...
March 1, 2017: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
Monika Popławska, Kinga K Borowicz, Stanisław J Czuczwar
Fosphenytoin, a water-soluble prodrug of the antiepileptic drug phenytoin, is entirely and rapidly converted to this antiepileptic drug. The mechanism of action of fosphenytoin is related to the blockade of voltage-operated sodium channels. It was developed in order to obtain a phenytoin-like drug with improved water solubility. Its maximal plasma concentration is achieved within 90-190 min following intramuscular administration with bioavailability being complete after intravenous injection. The main indications for fosphenytoin are the treatment of convulsive status epilepticus and the prevention/management of seizures during neurosurgery...
2015: Expert Review of Neurotherapeutics
Antonios Krasoudakis, Dimitrios Anyfantakis, Athanasios Hadjipetrou, Miltiades Kastanakis, Emmanouil K Symvoulakis, Stavros Marathianos
INTRODUCTION: Vago-glossopharyngeal neuralgia is an unusual clinical syndrome characterized by paroxysms of sharp pain in the distribution of glossopharyngeal nerve. Rarely the condition is associated with arrhythmia and cardiac syncope, a phenomenon named vagoglossopharyngeal neuralgia. PRESENTATION OF CASES: Here we present two patients with glosopharyngeal neuralgia associated with repetitive episodes of syncope referred from their primary care physician to neurosurgery department of a general hospital in Crete, Greece...
2015: International Journal of Surgery Case Reports
Pietro Paolo Martorano, Edoardo Barboni, Giovanni Buscema, Alessandro Di Rienzo
Brugada syndrome (BrS) is one of the most common causes of sudden death in young people. It usually presents with life-threatening arrhythmias in subjects without remarkable medical history. The need for surgical treatment may unmask BrS in otherwise asymptomatic patients. The best anaesthesiological treatment in such cases is matter of debate. We report a case of neurosurgical treatment of cerebello pontine angle (CPA) tumor in a BrS patient, performed under total intravenous anesthesia (TIVA) with target controlled infusion (TCI) modalities, using midazolam plus remifentanil and rocuronium, without recordings of intraoperative ECG alterations in the intraoperative period and postoperative complications...
2013: Case Reports in Anesthesiology
Tetsuhiro Takei, Koichi Nakazawa, Seiji Ishikawa, Tokujiro Uchida, Koshi Makita
Cardiopulmonary resuscitation (CPR) in the lateral position during noncardiac surgery has been described in only a few reports in the past. Here, we report a case of cardiac arrest in a 61-year-old man undergoing microvascular decompression surgery for trigeminal neuralgia in the left lateral decubitus position. During the initial 5 min of CPR, chest compression was performed in this position by two rescuers; one from the chest and the other from the back, pushing simultaneously. Because ventricular arrhythmia was refractory to conventional CPR even after placing the patient back to the supine position, extracorporeal life support was introduced in the operating room by using the femoro-femoral approach (right atrio-femoral veno-arterial bypass)...
June 2010: Journal of Anesthesia
Tim N Wenham, Donald Graham
Venous gas embolism (VGE) is a rare but potentially lethal complication of many forms of surgery, especially posterior fossa neurosurgery where the incidence is reported to be up to 80% - it can also occur in laparoscopic surgery. It usually occurs early in the procedure during insufflation of the abdomen. Rapid entry or large volumes of gas entering the venous circulation initiate a predictable chain of pathophysiological events which may continue to cardiovascular collapse. Arterial hypoxaemia, hypercapnia, decreased end-tidal CO(2), arrhythmias, myocardial ischaemia and elevated central venous and pulmonary arterial pressures can occur...
April 2009: Journal of Minimal Access Surgery
A F Kalmar, G De Ley, C Van Den Broecke, J Van Aken, M M R F Struys, M M Praet, E P Mortier
BACKGROUND: During endoscopic neurosurgery, direct mechanical stimulation of the brain by the endoscope and increased intracranial pressure (ICP) caused by the continuous rinsing can induce potentially lethal haemodynamic reflexes, brain ischaemia, and excessive fluid resorption. METHODS: In a newly presented rat model of endoscopic neurosurgery, stereotactic access to the cerebrospinal fluid was secured and the ICP was increased by controlled infusion until complete suppression of the cerebral perfusion pressure (CPP)...
March 2009: British Journal of Anaesthesia
Abdelazeem El-Dawlatly, Essam Elgamal, Walid Murshid, Sherif Alwatidy, Zain Jamjoom, Ahmed Alshaer
BACKGROUND: Endoscopic third ventriculostomy (ETV) has become the standard surgical procedure for treatment of non-communicating hydrocephalus. The aim of this study is to report our results over the past ten years with reference to perioperative complications of ETV with a review of some specific anesthetic issues. METHODS: The computerized database (in the Department of Neurosurgery) and the medical records of 128 patients who underwent ETV between February 1998 and February 2007 at our Hospital, were reviewed...
February 2008: Middle East Journal of Anesthesiology
E O Sanya
Sudden unexplained death in epilepsy (SUDEP) is the commonest cause of epilepsy-related death and most of the presumed risks factors associated with it are probably avoidable. In Nigeria most deaths in individuals with epilepsy occurred at home and so were never reported. Therefore, autopsies are usually not carried to determine the cause of death. This article hopes to reawaken the attention of clinicians to this important, yet not so well known phenomenon, with a view towards addressing problems highlighted Literatures and research publications on SUDEP were systematically reviewed...
December 2005: African Journal of Medicine and Medical Sciences
Philippe Ryvlin, Alexandra Montavont, Philippe Kahane
PURPOSE OF REVIEW: To discuss the pathophysiology and potential prevention of sudden unexpected death in epilepsy. RECENT FINDINGS: Long-term electrocardiogram monitoring over several months has detected ictal asystole in three out of 20 (15%) patients with refractory epilepsy, suggesting that high-risk ictal arrhythmias occur in a greater proportion of patients with refractory epilepsy than previously thought. In case-control studies, sudden unexpected death in epilepsy was found to be associated with frequent generalized tonic-clonic seizures and greater ictal maximal heart rate, especially during nocturnal attacks...
April 2006: Current Opinion in Neurology
Charles F Wooley
This is the first in a series of four papers that Dr. Wooley wrote exclusively for The American Heart Hospital Journal based on his book, The Irritable Heart of Soldiers and the Origins of Anglo-American Cardiology, published by Ashgate Publishing in 2002.1 Dr. Wooley's book also casts light on the origins of the specialty heart hospital.
2004: American Heart Hospital Journal
No abstract text is available yet for this article.
1964: Acta Neurochirurgica. Supplement
No abstract text is available yet for this article.
1964: Acta Neurochirurgica. Supplement
No abstract text is available yet for this article.
May 15, 1964: Münchener Medizinische Wochenschrift
No abstract text is available yet for this article.
August 1964: International Anesthesiology Clinics
No abstract text is available yet for this article.
March 1964: Journal of Pediatrics
No abstract text is available yet for this article.
January 1964: British Journal of Anaesthesia
No abstract text is available yet for this article.
January 1964: British Journal of Anaesthesia
P Poidevin, V Salomé, B Riegel, M F Verdin, A Bernard, R Krivosic-Horber
We report the case of a 70-year-old woman with paraplegia resulting from spinal cord compression secondary to an epidural haematoma. Because of an arrhythmia, a mitral valve replacement and the high risk of venous thrombosis, an anticoagulant treatment was introduced postoperatively. The patient having previously developed an type II heparin-induced thrombocytopaenia, a treatment by lepirudine was established successfully.
June 2001: Annales Françaises D'anesthèsie et de Rèanimation
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