Anesthetic management with scalp nerve block and propofol/remifentanil infusion during awake craniotomy in an adolescent patient: A case report.
10.4097/kjae.2010.59.S.S179
- Author:
Bohyun SUNG
1
;
Hee Soo KIM
;
Jin Woo PARK
;
Hyo Jin BYON
;
Jin Tae KIM
;
Chong Sung KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea. dami0605@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Adolescent;
Awake craniotomy;
Nerve block
- MeSH:
Adolescent;
Anesthesia, General;
Anesthetics, Local;
Brain;
Brain Neoplasms;
Child;
Craniotomy;
Dihydroergotamine;
Facial Paralysis;
Humans;
Male;
Nerve Block;
Neurologic Examination;
Neurologic Manifestations;
Piperidines;
Propofol;
Scalp;
Sutures
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S179-S182
- CountryRepublic of Korea
- Language:English
-
Abstract:
Despite of various neurophysiologic monitoring methods under general anesthesia, functional mapping at awake state during brain surgery is helpful for conservation of speech and motor function. But, awake craniotomy in children or adolescents is worrisome considering their emotional friabilities. We present our experience on anesthetic management for awake craniotomy in an adolescent patient. The patient was 16 years old male who would undergo awake craniotomy for removal of brain tumor. Scalp nerve block was done with local anesthetics and we infused propofol and remifentanil with target controlled infusion. The patient endured well and was cooperative before scalp suture, but when surgeon sutured scalp, he complained of pain and was suddenly agitated. We decided change to general anesthesia. Neurosurgeon did full neurologic examinations and there was no neurologic deficit except facial palsy of right side. Facial palsy had improved with time.
