Acute respiratory failure after endoscopic third ventriculostomy: A case report and review of the literature

Endoscopic third ventriculostomy (ETV) is a relatively safe procedure. However, postoperative acute respiratory failure may be fatal. The authors report an 8-month-old patient with obstructive hydrocephalus secondary to posterior fossa cyst, and Chiari malformation. After ETV he developed difficulty in breathing, and had to be reintubated and ventilated. The infant recovered fully after craniocervical decompression and insertion of cystoperitoneal shunt. We speculate that respiratory failure is related to relative expansion of the posterior fossa arachnoid cyst, causing significant compression on the brain stem. Supportive care with mechanical ventilation and brain stem decompression were the mainstay of treatment.

• Publication year

  2012

• Venue

  Saudi Journal of Anaesthesia

• Publication date

  2012-10-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.4103/1658-354X.105894PMID 23493148PMCID 3591566
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Treatment options for intracranial arachnoid cysts: a retrospective study of 69 patients.

  2012cited by this paper
• Complications of endoscopic third ventriculostomy.

  2011cited by this paper
• Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts.

  2011cited by this paper
• Posterior fossa arachnoid cysts and cerebellar tonsillar descent: short review

  2010cited by this paper
• Endoscopic management of posterior fossa arachnoid cyst in an adult: case report and technical note.

  2010cited by this paper
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  2010cited by this paper
• Uncontrollable High-Frequency Tachypnea: A Rare and Nearly Fatal Complication of Endoscopic Third Ventriculostomy: Case Report and Literature Review

  2010cited by this paper
• European Manual of Medicine — Neurosurgery

  2009cited by this paper
• Management of Hydrocephalus in Childhood

  2009cited by this paper
• Regression of syringomyelia and tonsillar herniation after posterior fossa arachnoid cyst excision. Case report and literature review.

  2007cited by this paper
• Fatal haemorrhage in medulloblastoma following ventricular drainage. Case report and review of the literature.

  2006cited by this paper
• Endoscopic third ventriculostomy in children: early and late complications and their avoidance

  2006cited by this paper
• [Endoscopic third ventriculostomy: complications and failures].

  2004cited by this paper
• Complications of endoscopic third ventriculostomy.

  2002cited by this paper
• Retrocerebellar arachnoid cyst with syringomyelia: a case report.

  2000cited by this paper
• Endoscopic Third Ventriculostomy: An Outcome Analysis

  1998cited by this paper
• Intracranial arachnoid cysts: Treatment alternatives and outcome in a series of 25 patients.

  1997cited by this paper
• A near-fatal complication of endoscopic third ventriculostomy: case report.

  1994cited by this paper
• Do arachnoid cysts grow?

  1991cited by this paper
• Intracranial Arachnoid Cysts in Children

  1986cited by this paper
• Congenital arachnoid cysts.

  1969cited by this paper
• [Congenital arachnoid cyst].

  1967cited by this paper

• Respiratory arrest after posterior fossa decompression in patients with Chiari malformations: An overview

  2023cites this paper
• Anesthesia for Endoscopic Third Ventriculostomy

  2019cites this paper
• RIYADH:

  2019cites this paper