Ganeriwal Veena, Dey Paulomi, Bawage Rupali, Gore Baburao
Department of Anesthesiology, Grant Government Medical College J.J. Hospital Mumbai, Maharashtra, India.
Saudi J Anaesth. 2019 Apr-Jun;13(2):136-139. doi: 10.4103/sja.SJA_616_18.
Meningoencephalocele means protrusion or herniation of brain (neural) tissue along with meninges through a defect in the cranium into a swelling filled with cerebrospinal fluid (CSF). It is very rarely associated with Arnold-Chiari type III (ACM type III). Size, location and type of content of the swelling determine the surgical as well as anaesthetic problems. The most common challenges faced by anaesthesiologist in managing these patients are related to positioning of head and prevention of rupture of swelling, airway management, fluid and blood loss and maintenance of body temperature. In order to manage huge meningoencephalocele, you need a well-planned approach amongst anaesthesiologist and surgeon.
脑膜脑膨出是指脑（神经）组织连同脑膜通过颅骨缺损突出或疝入充满脑脊液（CSF）的肿胀物中。它极少与阿诺德-奇亚里Ⅲ型（ACMⅢ型）相关。肿胀物的大小、位置和内容物类型决定了手术及麻醉问题。麻醉医生在处理这些患者时面临的最常见挑战与头部定位、防止肿胀物破裂、气道管理、液体和失血以及体温维持有关。为了处理巨大脑膜脑膨出，麻醉医生和外科医生之间需要精心规划的方法。
