Anaesthesia Management of Appendectomy Existed With Intracranial Arachnoid Cyst: A Case Report

Yıl 2012, Cilt: 17 Sayı: 2, 124 - 126, 01.04.2012

İsmail Demirel

Öz

Arachnoid cysts may be intracranial or extracranial in the neuraxis and may present with headache and neurological signs or acutely with rupture and its complications. In this case a male patient who had a large intracranial arachnoid cyst in the left temporo-fronto-parietal region and operated by epidural anaesthesia for appendectomy was presented.

Anahtar Kelimeler

-

Intrakranial Araknoid Kist Varlığında Appendektomi için Anestezi Yönetimi: Olgu Sunumu

Öz

Araknoid kistler nöroaksiyel sistem içerisinde intrakranial veya ekstrakranial yerleşebilir, başağrısı benzeri nörolojik bulgular veya akut yırtılma gibi komplikasyonlar görülebilir. Sol temporo-fronto-parietal bölgede geniş intrakranial araknoid kisti olan ve apendektomi operasyonu için epidural anestezi uyguladığımız erkek hastayı sunduk.

Anahtar Kelimeler

İnrakranial araknoid kist, Apendektomi, Epidural anestezi

Kaynakça

• 1. Khan AN. Arachnoid cyst. 2005. http://www.emedicine.com /radio/ topic48.htm.
• 2. Rengachary SS, Watanabe I. Ultrastructure and pathogenesis of intracranial arachnoid cysts. J Neuropathol Exp Neurol 1981; 40: 61–83.
• 3. Albuquerque FC, Gianotta SL. Arachnoid cyst rupture producing subdural hygroma and intracranial hypertension: case reports. Neurosurgery 1997; 41: 951–6.
• 4. Barker RA, Phillips RR, Moseley IF, Taylor WJ, Kitchen N D, Scadding J W. Posterior communicating artery aneurysm presenting with haemorrhage into an arachnoid cyst. J Neurol Neurosurg Psychiatry 1998; 64: 558–60.
• 5. Go KG, Houthoff HJ, Blaauw EH, Havinga P, Hartsuiker J. Arachnoid cysts of the sylvian fissure: evidence of fluid secretion. J Neurosurg 1984; 60: 803–13.
• 6. Greenfield JP, Souweidane MM. Endoscopic management of intracranial cysts. Neurosurg Focus 2005; 19: e7.
• 7. Gaiser RR, Antonik L. Successful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia and triplets. Reg Anesth 1996; 21: 592–4.
• 8. McCormick RN, Stutley JE, Green RJ. An unusual cause of postpartum collapse or a red herring? Anaesthesia 2003; 58: 398–9.
• 9. Alehan FK, Gurakan B, Aildere M. Familial arachnoid cysts in association with Autosomal Dominant Polycystic Kidney Disease. Pediatrics 2002; 110: e13.
• 10. Marx GF, Zemaitis MT, Orkin LR. Cerebrospinal fluid pressures during labor and obstetrical anesthesia. Anesthesiology 1961; 22: 351–2.
• 11. Rupasinghe MM, McLoughlin L, Singaraju V. Intracranial arachnoid cyst: anaesthetic management in pregnancy. Int J Obstet Anesth 2007; 16: 265-8.
• 12. Valls PL, Naul LG, Kanter SL. Paraplegia after a routine lumbar laminectomy: report of a rare complication and successful management. Neurosurgery 1990; 27: 638–40.
• 13. Larkin C, Murphy F, Browne I.Anaesthetic management of pregnancy complicated by a symptomatic arachnoid cyst. Int J Obstet Anesth 2009; 18: 291-2.