RESUMO
Marcaine applied to irritated nerve roots during extradural spinal surgery may attenuate sympathetically mediated and somatosensory (pain)-related hypertensive and tachycardic crises.
Assuntos
Anestesia Local , Bupivacaína/administração & dosagem , Coluna Vertebral/cirurgia , Anestesia Epidural , Animais , Bupivacaína/efeitos adversos , Humanos , Raízes Nervosas EspinhaisRESUMO
The optimal management of patients with myelomeningocele and hydrocephalus is facilitated by a constant review of the patients with the aid of the sonogram and CT scan. Six infants treated with simultaneous shunt placement and myelomeningocele repair were compared with six other neonates treated with conventional sequential myelomeningocele repairs requiring a second separate procedure for shunt placement. Infants operated upon simultaneously experienced no increase in morbidity or mortality and appeared to benefit substantially.
Assuntos
Derivações do Líquido Cefalorraquidiano/métodos , Meningomielocele/cirurgia , Derivações do Líquido Cefalorraquidiano/efeitos adversos , Falha de Equipamento , Estudos de Avaliação como Assunto , Feminino , Humanos , Recém-Nascido , Masculino , Complicações Pós-Operatórias , Reoperação , Infecção da Ferida Cirúrgica/etiologia , Fatores de TempoRESUMO
Intracranial gliomas are found in association with von Recklinghausen's neurofibromatosis. However, few truly neonatal lesions have been identified and studied. This case report concerns a 4-month-old child who was found to have a massive thalamic glioma of moderate grade. Four paternal generations had suffered from different manifestations of this transmissible autosomal-dominant (Ad) phakomatosis.
