Neeta S, Upadya Madusudhan, Pachala Sri Sruthi
Department of Anaesthesiology, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.
Anesth Essays Res. 2015 May-Aug;9(2):238-40. doi: 10.4103/0259-1162.156349.
Cranial Meningocoele is a term which represents herniation of meninges and cerebrospinal fluid through the congenital defect in the cranium. Anaesthetic challenges in the management of neonates with occipital meningocoele include airway management and proper positioning of the neonate without pressure on the meningocoele sac so as to preventthe rupture of the membranes. Associated congenital anomalies also can cause anaesthesia and procedure related complications. Other difficulties include performing a difficult airway case in an unfamiliar environment outside operation theatre. We report a case of 6 day old neonate with occipital meningocoele posted for MRI brain and the successful anaesthetic management.
颅脊膜膨出是指脑膜和脑脊液通过颅骨先天性缺损突出的一种病症。枕部脊膜膨出新生儿管理中的麻醉挑战包括气道管理以及新生儿的正确体位摆放，避免对脊膜膨出囊造成压迫，以防膜破裂。相关的先天性异常也可能导致麻醉及手术相关并发症。其他困难还包括在手术室以外的陌生环境中处理困难气道情况。我们报告一例6日龄枕部脊膜膨出新生儿行脑部磁共振成像（MRI）检查时的成功麻醉管理病例。
