Neurogenic myocardial dysfunction post craniopharyngioma resection: A diagnostic dilemma

Paediatr Anaesth. 2023 Nov 1. doi: 10.1111/pan.14788. Online ahead of print.ABSTRACTEndoscopic transsphenoidal resection of craniopharyngioma is a commonly used technique. Cerebral vasospasm may occur in nearly 10% of cases leading to adverse neurological outcomes. Cardiopulmonary dysfunction may be seen in patients with severe vasospasm. The literature describing the occurrence of neurogenic stunned myocardium following craniopharyngioma resection in pediatric patients is very sparse. Here, we describe such a case managed with a combination of milrinone (to relieve vasospasm and improve cardiac pump function), noradrenaline (to obtain target blood pressure), and vasopressin (to control urine output). This case report proposes the treatment plan of neurogenic stunned myocardium following vasospasm in pediatric patients.PMID:37909841 | DOI:10.1111/pan.14788

Source: Paediatric Anaesthesia - November 1, 2023 Category: Anesthesiology Authors: Ashwini Reddy Priya Thappa Kiran Jangra Sivashanmugam Dhandapani Bhupendra Kumar Sihag Source Type: research