Mask ventilation in frontonasal meningoencephalocele: Case report

Frontonasal encephalocele is a rare anatomical variant of the meningoencephalocele. Peri-operative anesthesia concerns involve anticipated difficult mask ventilation as well as surgical complications such as compression and rupture of meningoencephalocele. The compression of encephalocele is associa...

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Published inJournal of pediatric neurosciences Vol. 17; no. 1; pp. 79 - 81
Main Authors Verma, Shipra, Biswas, Konish, Agrawal, Sanjay, Andleeb, Roshan
Format Journal Article
LanguageEnglish
Published Mumbai Wolters Kluwer India Pvt. Ltd 01.01.2022
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Subjects
Case reports
Succinylcholine
Case report
mask ventilation
frontonasal meningoencephalocele
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Summary:Frontonasal encephalocele is a rare anatomical variant of the meningoencephalocele. Peri-operative anesthesia concerns involve anticipated difficult mask ventilation as well as surgical complications such as compression and rupture of meningoencephalocele. The compression of encephalocele is associated with raised intracranial pressure (ICP) and even rupture of overlying skin leading to cerebrospinal fluid leak, hemorrhage, exposure of underlying frontal lobe, meningitis, seizures, and even death. We report a case of 6-year-old female presenting with rare variant of frontonasal encephalocele for bifrontal craniotomy, excision of encephalocele, and repair. Difficult mask ventilation was anticipated, and patient airway was managed with use of size 4 anatomical mask.
ISSN:1817-1745
1998-3948
DOI:10.4103/jpn.JPN_276_20