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390863

The efficacy of SURGIFLO® in management of sub-arachnoid hemorrhage after cerebello-pontine (CP) angle schwannoma surgery- A case report

Article

Last updated: 29 Dec 2024

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Tags

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Abstract

Background: Subarachnoid hemorrhage (SAH) as a complication after cerebello-pontine (CP) angle surgery has rarely been described in literature. We intended to cite the preceding scenario leading to this event and its successful management based on anesthetic and surgical directed approach. Case presentation: A middle aged female patient presenting with complaints of hearing loss, vertigo and swaying gait underwent surgery for cystic vestibular schwannoma under cranial nerve monitoring. The anesthetic maintenance was solely based on entropy guided propofol infusion. Intra-operatively the patient suffered hemorrhage during the tumor decompression, which was eventually stopped after usage of SURGIFLO. Post-operatively, the neuro-imaging revealed SAH. It was managed in ICU on the lines of prevention of vasospasm and patient was subsequently discharged from the institute. Conclusions: SURGIFLO is effective in control of intra-operative grade 3 bleed. Nimodipine usage is indispensible for management of vasospasm. Maintenance of hemodynamics during the crisis plays critical role towards a good outcome of the patient following the surgery.

DOI

10.21608/asja.2024.250457.1011

Keywords

Case Report, CP angle schwannoma, Nimodipine, SAH, SURGIFLO, Vasospasm

Authors

First Name

Kunal

Last Name

Sharma

MiddleName

Kumar

Affiliation

Department of Neuroanesthesia cell, Indira Gandhi Medical college and hospital, Shimla, Himachal Pradesh, India.

Email

kunaal_kumar@yahoo.com

City

Shimla

Orcid

0000-0002-1538-636X

First Name

Prashant

Last Name

Dhatwalia

MiddleName

-

Affiliation

Department of Anesthesia, Indira Gandhi Medical college and hospital, Shimla, Himachal Pradesh, India.

Email

prashantdhatwalia10@gmail.com

City

Shimla

Orcid

0009-0001-4118-7268

First Name

Biplav

Last Name

Singh

MiddleName

-

Affiliation

Department of Neurosurgery, Indira Gandhi Medical college and hospital, Shimla, Himachal Pradesh, India.

Email

drbiplavsingh@gmail.com

City

Shimla

Orcid

0000-0002-9762-4404

First Name

Suresh

Last Name

Thakur

MiddleName

Kumar

Affiliation

Department of Radiodiagnosis Neuroradiology Cell, Indira Gandhi Medical college and hospital, Shimla, Himachal Pradesh, India.

Email

thakursuresh67@yahoo.co.in

City

Shimla

Orcid

0000-0003-2289-0844

Volume

16

Article Issue

1

Related Issue

46864

Issue Date

2024-01-01

Receive Date

2023-11-22

Publish Date

2024-01-01

Page Start

1

Page End

8

Print ISSN

1687-7934

Online ISSN

2090-925X

Link

https://asja.journals.ekb.eg/article_390863.html

Detail API

https://asja.journals.ekb.eg/service?article_code=390863

Order

390,863

Type

Case report

Type Code

2,883

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

The efficacy of SURGIFLO® in management of sub-arachnoid hemorrhage after cerebello-pontine (CP) angle schwannoma surgery- A case report

Details

Type

Article

Created At

20 Dec 2024