The Valsalva’s maneuver is a time-honored technique that is commonly used at the clinical practice for the evaluation of heart murmurs, left ventricular and autonomic dysfunction. Valsalva maneuver (VM) is commonly practiced in neurosurgical patients to check for CSF leak after closure of dura and to see venous oozing at the end of surgery. This VM method has also been used to facilitate removal of pituitary tumors in trans-sphenoidal approach. Though VM can result in marked hemodynamic changes, but if it is used judiciously and for brief duration, can result in improved outcomes of anaesthetised neurosurgical patients. We wish to share our experience of use of VM for the extrusion of intact fourth ventricle cyst which helped to minimize the dissection and thus helping to preserve neurological function.

Keywords: Valsalva’s Maneuver; 4th Ventricular Cyst; Neurocysticercosis.