Skip to main content Skip to main navigation menu Skip to site footer

Abstract

Brain steam is a component of  fossa posterior, therefore anesthesia management for brain steam tumor resection should follow the general rule for anesthesia management of fossa posterior and a special concern for complication that could happen when brain steam is manipulated. 41 year old male with a brain steam tumor complain  a double vision, numbness and pain on the face, and swallowing problem, MRI show diffuse lesion on the pons to mid brain, suspect primary brain tumor (low grade tumor), nervus opticus and chiasma opticum are normal. Patient has been anesthesied well using invasif monitoring arteri line and central venous catheter CVC in addition to standart monitoring. Intraoperatifly patient going through a hypotensive episode that caused by manipulation on the brain steam. Postoperatifly patient is in the ICU and extubated on next 12 hours.

 

 

References

  1. Gheorghita E, Ciurea J, Balanescu B. Considerations on anesthesia for posterior fossa-surgery. Romanian Neurosurgery. 2012;19(3):183-92.
  2. Jagannathan S, Krovvidi H. Anaesthetic considerations for posterior fossa surgery. Continuing Education in Anaesthesia, Critical Care & Pain. 2014;14(5):202-6.
  3. Rachman IA, Bisri T. Penatalaksanaan Anestesi pada Tindakan Bedah Tumor Fossa Posterior : Serial Kasus. Journal Neuroanestesi Indonesia. 2016;5(1):1-12.
  4. Pederson DS, Peterfreund RA. Anesthesia for Posterior Fossa Surgery. Dalam: Newfield P, Cottrell JE, penyunting. Handbook of Neuroanesthesia. edisi fifth. Philadelphia: Lippincott Williams & Wilkins; 2012. hlm. 136-47.
  5. Lumbantobing. Neuroogi Klinik Pemeriksaan Fisik dan Mental. Jakarta: Badan Penerbit FKUI; 2015.
  6. Schlichter RA, Smith DS. Anesthetic Management for Posterior Fossa Surgery. Dalam: Cottrell JE, Patel P, penyunting. Neuroanesthesia. edisi 6: Elsevier; 2017.
  7. Sabbagh AJ, Al-Yamany M, Bunyan RF, Takrouri MSM, Radwan SM. Neuroanesthesia management of neurosurgry of brain stem tumor requiring neurophysiology monitoring in an iMRI OT setting. Saudi J Anaesth. 2009;3(2).
  8. Chand M, Thapa P, Shrestha S, Chand P. Peri-Operative Anesthetic Events in Posterior Fossa Tumor Surgery. Postgraduate Medical Journal of NAMS. 2012;12(2).
  9. Bisri T. Anestesi Untuk Operasi Fossa Posterior. Neuroanestesia. Bandung1997. hlm. 153-63.
  10. Bisri DY, Bisri T. Anestesi untuk Operasi Tumor Otak: Supratentorial Infratentorial. edisi Pertama. Bandung: Fakultas Kedokteran Universitas Padjadjaran 2016.

How to Cite

Darma Junaedi, I. M. (2018). Penatalaksanaan anestesi pada reseksi tumor batang otak. Medicina, 49(2). https://doi.org/10.15562/medicina.v49i2.294

HTML
31

Total
26

Share

Search Panel

I Made Darma Junaedi
Google Scholar
Pubmed
Medicina Journal