Uncontrollable high-frequency tachypnea: a rare and nearly fatal complication of endoscopic third ventriculostomy: case report and literature review.

Minimally Invasive Neurosurgery Pub Date : 2010-10-01 Epub Date: 2011-02-07 DOI:10.1055/s-0030-1269874

R Bernard, F Vallee, J Mateo, M Marsella, B George, D Payen, S Chibbaro

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引用次数: 6

Abstract

Background: Endoscopic third ventriculostomy (ETV) is considered a safe procedure although it carries its rate of risks and complications that may occasionally be life-threatening.

Case report: This is a report about a 48-year-old woman presenting with progressive gait unsteadiness, weakness of the lower extremities and cognitive impairment due to tri-ventricular hydrocephalus. This was treated with standard ETV. In the immediate post-operative period the patient developed a severe and uncontrollable tachypnea requiring sedation, intubation and mechanical ventilation.

Conclusion: Tachypnea may be an early complication after standard ETV and although its mechanism remains yet unclear, we speculate that it may be related to excessive traction and/or surgical manipulation of the floor of the third ventricle. Supportive care with mechanical ventilation is the mainstay of treatment until spontaneous normalization of the respiratory mechanism occurs.

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不可控高频呼吸急促:内镜下第三脑室造瘘术的罕见且几乎致命的并发症:病例报告及文献复习。

背景:内镜下第三脑室造口术(ETV)被认为是一种安全的手术，尽管它有一定的风险和并发症，有时可能危及生命。病例报告:这是一个48岁女性的报告，表现为进行性步态不稳，下肢无力和认知障碍，由于三室脑积水。用标准ETV治疗。术后患者出现严重且无法控制的呼吸急促，需要镇静、插管和机械通气。结论:呼吸急促可能是标准ETV术后的早期并发症，虽然其机制尚不清楚，但我们推测其可能与过度牵引和/或第三脑室底的手术操作有关。在呼吸机制自发恢复正常之前，机械通气的支持治疗是主要的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Neurosurgery 医学-临床神经学

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0.00%

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审稿时长

>12 weeks