Importancia del monitoreo transoperatorio de la presión intracraneal durante la ventriculocisternostomía endoscópica.

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Bibliographic Details
Title:	Importancia del monitoreo transoperatorio de la presión intracraneal durante la ventriculocisternostomía endoscópica.
Alternate Title:	Importance of Intraoperative Monitoring of Intracranial Pressure during Endoscopic Ventriculocisternostomy.
Authors:	González Orlandi, Yvei¹ iveyglez@infomed.sld.cu, Jardines Hinojosa, Yanely¹, Laffita Zamora, Joan¹, Coronado Rosales, Alejandro², García Tamayo, Yisel³, Brown Pérez, Arianne¹
Source:	Revista Cubana de Neurología y Neurocirugía. ene-abr2022, Vol. 12 Issue 1, p1-12. 12p.
Abstract (English):	Introduction: Neuroendoscopy is a minimally invasive neurosurgical procedure to the brain used for the treatment of an increasing number of diseases. Among its variants, endoscopic ventriculocisternostomy of the floor of the third ventricle is the treatment of choice for triventricular obstructive hydrocephalus. Objective: To establish the importance of transoperative monitoring of intracranial pressure and other vital parameters during endoscopic ventriculocisternostomy of the floor of the third ventricle. Case report: We report the case of a 45-year-old patient with obstructive hydrocephalus secondary to a posterior fossa hemangioblastoma. He was treated by premammillary endoscopic ventriculocisternostomy of the floor of the third ventricle with monitoring of intracranial pressure and other vital parameters during the transoperative period. The procedure was carried out with no complications. The patient's symptoms improved and the necessary measurements planned during the procedure could be carried out. Conclusions: Intraoperative monitoring of intracranial pressure reveals variations in vital parameters such as blood pressure, heart rate, and intermittent increases in intracranial pressure. This type of surgery is very useful for surgeons and anesthesiologists, since it contributes to ruling out and avoiding intraoperative complications and favorably influencing the good results of the procedure and its prognosis, as occurred in this patient. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción: La neuroendoscopía es un proceder neuroquirúrgico mínimamente invasivo al cerebro empleado para el tratamiento de un número cada vez mayor de enfermedades. Entre sus variantes, la ventriculocisternostomía endoscópica del piso del III ventrículo constituye el tratamiento de elección para la hidrocefalia obstructiva triventricular. Objetivo: Demostrar la importancia del monitoreo transoperatorio de la presión intracraneal y de otros parámetros vitales durante la realización de la ventriculocisternostomía endoscópica del piso del III ventrículo. Presentación de caso: Paciente de 45 años de edad, portador de hidrocefalia obstructiva secundaria a un hemangioblastoma de fosa posterior. Se trató mediante ventriculocisternostomía endoscópica premamilar del piso del III ventrículo con monitoreo de la presión intracraneal y otros parámetros vitales durante el transoperatorio. El proceder se realizó sin complicaciones. El paciente mejoró su sintomatología y se pudieron realizar las mediciones necesarias planificadas durante el proceder. Conclusiones: La monitorización transoperatoria de la presión intracraneal revela variaciones en parámetros vitales como la tensión arterial, la frecuencia cardíaca e incrementos intermitentes de la presión intracraneal. Este tipo de cirugía es de gran utilidad para cirujanos y anestesistas. Contribuye a descartar y evitar complicaciones transoperatorias, además, influye favorablemente en los buenos resultados del proceder y su pronóstico, como ocurrió en este paciente. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: Neuroendoscopy is a minimally invasive neurosurgical procedure to the brain used for the treatment of an increasing number of diseases. Among its variants, endoscopic ventriculocisternostomy of the floor of the third ventricle is the treatment of choice for triventricular obstructive hydrocephalus. Objective: To establish the importance of transoperative monitoring of intracranial pressure and other vital parameters during endoscopic ventriculocisternostomy of the floor of the third ventricle. Case report: We report the case of a 45-year-old patient with obstructive hydrocephalus secondary to a posterior fossa hemangioblastoma. He was treated by premammillary endoscopic ventriculocisternostomy of the floor of the third ventricle with monitoring of intracranial pressure and other vital parameters during the transoperative period. The procedure was carried out with no complications. The patient's symptoms improved and the necessary measurements planned during the procedure could be carried out. Conclusions: Intraoperative monitoring of intracranial pressure reveals variations in vital parameters such as blood pressure, heart rate, and intermittent increases in intracranial pressure. This type of surgery is very useful for surgeons and anesthesiologists, since it contributes to ruling out and avoiding intraoperative complications and favorably influencing the good results of the procedure and its prognosis, as occurred in this patient. [ABSTRACT FROM AUTHOR]
ISSN:	22254676