{"id":"cda5dadb-972d-495d-92de-7af6016a9367","slug":"brainstem-anesthesia-during-removal-operation-of-ventriculoperitoneal-shunt-a-case-report","title":"Brainstem anesthesia during removal operation of ventriculoperitoneal shunt – A case report","authors":["Satoshi Miyamoto","Go Ikeda","Ken Akimoto","Ryota Mashiko","Kazuya Uemura","Eiichi Ishikawa"],"abstract":"Background: Brainstem anesthesia is a transient loss of brainstem function usually associated with retrobulbar block and rarely seen by neurosurgeons. Case Description: Here, we report a case of brainstem anesthesia during shunt revision operation in a 79-year-old woman. Local anesthesia administered at the end of surgery was thought to have infiltrated the subarachnoid space through a burr hole, causing prolonged unconsciousness and cranial nerves’ impairment. Spontaneous resolution occurred during systemic support. Conclusion: As brainstem anesthesia may occur by leakage of local anesthetic through small burr holes, timing injections carefully can avoid this rare complication.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/cda5dadb-972d-495d-92de-7af6016a9367/featured/hero-1781561518150.png","publishDate":"2022-03-31T00:00:00.000Z","doi":"10.25259/SNI_1196_2021","categories":["Neuroanesthesia and Critical Care","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/03/11497/SNI-13-122.pdf"}