Scholarlink

Background <p>Multiple primary cerebral hydatidosis is rare and is associated with potential technical difficulties and fatal complications during the manipulation and excision of multiple cysts, with an increased probability of cystic rupture. Anesthetic management of pediatric patients presenting with hydatid cysts of the brain poses a great challenge to anesthetists. The risk of perioperative complications such as hemodynamic instability, respiratory compromise, cardiac arrhythmias, and anaphylactic reactions during anesthesia is critical. Adequate preoperative preparation, premedication, and close monitoring for signs of anaphylactic reactions are crucial for early diagnosis and management in patients presenting with multiple giant intracranial hydatid cyst.</p> Case presentation <p>We present a 7-year-old female patient who presented with worsening right-sided body weakness for 3&#xa0;months and was referred to our institution with a diagnosis of Tuberculous (TB) meningitis and or brain tumor. She had a history of a severe global headache, failure to speak, and seizures. Brain magnetic resonance imaging (MRI) revealed a giant intra-cerebral intra-axial left cerebral hemispheric multicystic hydatid cyst. After adequate preoperative preparation and premedication, a craniotomy and cystic excision were performed under general anesthesia. Intraoperatively, the patient developed refractory hypotension after cyst excision, which was treated with IV adrenaline, hydrocortisone, and aggressive fluid administration.</p> Conclusion <p>Multiple giant primary intracranial hydatid cysts are extremely rare in Ethiopia. Anesthesia providers should contemplate and prepare to manage the critical events of toxic potentials of spillage of cystic contents under anesthesia, in addition to the challenges associated with pediatric neurosurgical anesthetic precautions.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Perioperative anesthetic management challenge in a patient presented with a multiple intracranial hydatid cyst in a resource-constrained area: a rare case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年2月17日

查看全文
  • Tajera Tageza Ilala,
  • Fentaw Belay Muhammed,
  • Gudeta Teku Ayano

摘要

Background

Multiple primary cerebral hydatidosis is rare and is associated with potential technical difficulties and fatal complications during the manipulation and excision of multiple cysts, with an increased probability of cystic rupture. Anesthetic management of pediatric patients presenting with hydatid cysts of the brain poses a great challenge to anesthetists. The risk of perioperative complications such as hemodynamic instability, respiratory compromise, cardiac arrhythmias, and anaphylactic reactions during anesthesia is critical. Adequate preoperative preparation, premedication, and close monitoring for signs of anaphylactic reactions are crucial for early diagnosis and management in patients presenting with multiple giant intracranial hydatid cyst.

Case presentation

We present a 7-year-old female patient who presented with worsening right-sided body weakness for 3 months and was referred to our institution with a diagnosis of Tuberculous (TB) meningitis and or brain tumor. She had a history of a severe global headache, failure to speak, and seizures. Brain magnetic resonance imaging (MRI) revealed a giant intra-cerebral intra-axial left cerebral hemispheric multicystic hydatid cyst. After adequate preoperative preparation and premedication, a craniotomy and cystic excision were performed under general anesthesia. Intraoperatively, the patient developed refractory hypotension after cyst excision, which was treated with IV adrenaline, hydrocortisone, and aggressive fluid administration.

Conclusion

Multiple giant primary intracranial hydatid cysts are extremely rare in Ethiopia. Anesthesia providers should contemplate and prepare to manage the critical events of toxic potentials of spillage of cystic contents under anesthesia, in addition to the challenges associated with pediatric neurosurgical anesthetic precautions.