Neurogenic myocardial dysfunction post craniopharyngioma resection: A diagnostic dilemma.
Ashwini ReddyPriya ThappaKiran JangraSivashanmugam DhandapaniBhupendra Kumar SihagPublished in: Paediatric anaesthesia (2023)
Endoscopic transsphenoidal resection of craniopharyngioma is a commonly used technique. Cerebral vasospasm may occur in nearly 10% of cases leading to adverse neurological outcomes. Cardiopulmonary dysfunction may be seen in patients with severe vasospasm. The literature describing the occurrence of neurogenic stunned myocardium following craniopharyngioma resection in pediatric patients is very sparse. Here, we describe such a case managed with a combination of milrinone (to relieve vasospasm and improve cardiac pump function), noradrenaline (to obtain target blood pressure), and vasopressin (to control urine output). This case report proposes the treatment plan of neurogenic stunned myocardium following vasospasm in pediatric patients.
Keyphrases
- subarachnoid hemorrhage
- cerebral ischemia
- brain injury
- spinal cord injury
- blood pressure
- case report
- left ventricular
- oxidative stress
- systematic review
- risk assessment
- emergency department
- early onset
- metabolic syndrome
- blood brain barrier
- hypertensive patients
- adipose tissue
- insulin resistance
- atrial fibrillation
- replacement therapy
- electronic health record