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Indian Journal of Anesthesia and Analgesia 12(2):p 125-128, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.7
Case Report
Anaesthetic Management of a Patient with Obstructive Hydrocephalus who had Undergone Craniectomy Posted for Ventriculoperitoneal Shunting
Manikandan Chinnasamy, Ravi Madhusudhana, Kiran Nelamangala, Shobbanna Manukaran
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(2):p 125-128, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.7
How Cite This Article:
Chinnasamy M, Madhusudhana R, Nelamangala K, et al. Anaesthetic management of a patient with obstructive hydrocephalus who had undergone craniectomy posted for ventriculoperitoneal shunting. Ind J Anesth Analg. 2025;12(2):125-128.Timeline
Received : February 06, 2025
Accepted : April 05, 2025
Published : June 23, 2025
Abstract
Introduction: Hydrocephalus, it is an excessive accumulation of cerebrospinal fluid within the head. It can be due to congenital or acquired. It leads to increase in intracranial pressure, seizures, permanent disability and sudden death, for which patients has to undergo external ventricular drain, lumbar shunts or ventricular shunts. Patients with intracranial pathology have high risk of perioperative complications, which needs specific anaesthetic management. Case Report: A 32 year old male a case of status post right temporo-parietal craniectomy with obstructive hydrocephalus posted for ventriculo-peritoneal shunting. He sustained head injury 2 months back for which he had undergone craniectomy and also tracheostomised. Then he was newly diagnosed as diabetic and hypertensive for which he was on medication. And his blood investigations showed hyponatremia for which he was started on sodium correction. In between, he had developed left cephalic vein thrombosis for which he was started on injection Heparin. After 2 months of craniectomy he developed cerebral edema following which his GCS was also worsened. So ventriculoperitoneal shunting was done under general anaesthesia and it was uneventful. Conclusion: As the patient was posted for ventriculoperitoneal shunting with known history of status post craniectomy, hyponatremia and high blood sugars; early hemodynamic management and intensive care was extremely useful to these patient in view of anticipation of seizures, bleeding. In this case, the anaesthetic management was handled successfully without any consequences.
References
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Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
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Cite this article
Chinnasamy M, Madhusudhana R, Nelamangala K, et al. Anaesthetic management of a patient with obstructive hydrocephalus who had undergone craniectomy posted for ventriculoperitoneal shunting. Ind J Anesth Analg. 2025;12(2):125-128.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| February 06, 2025 | April 05, 2025 | June 23, 2025 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.7
Keywords
CrainectomyHydrocephalusVentriculoperitoneal shuntingSearch for Similar Articles
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Timeline
| Received | February 06, 2025 |
| Accepted | April 05, 2025 |
| Published | June 23, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
