Endoscopic Intraventricular Atrial Adhesiolysis for the Treatment of Entrapped Temporal Horn after İntraventricular Tumor Surgery

Abuzayed, Bashar; Alawneh, Khaled; Qawasmeh, Majdi Al; Raffee, Liqaa

doi:10.1055/s-0040-1709349

Cited by 5 publications

(9 citation statements)

References 5 publications

(22 reference statements)

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“…Neuromuscular block agents facilitate intubating conditions in general anesthesia patients by immobilizing vocal cords [ 1 , 17 ]. However, they are associated with significant residual postoperative paralysis and morbidity [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Rate of residual neuromuscular block using single-dose rocuronium in general anesthesia for ENT surgery: a retrospective cohort study

et al. 2023

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Introduction NMB facilitates intubating conditions in general anesthesia. However, it is associated with significant residual postoperative paralysis and morbidity. Objective To investigate the rate of underdiagnosed residual NMB based on two TOFR criteria (< 0.91 and < 1.00). Methods We performed a retrospective study adhering to STROBE guidelines. We included patients undergoing ENT surgery using single-dose neuromuscular block for balanced general anesthesia from June to December 2018. We collected demographic and anthropometric data, ASA score, NMBA dose, TOFR recordings at 5, 30 and 60 min and end of the surgery, anesthesia and surgery time, and administration of reversal agent. Statistical analysis included descriptive and dispersion measures statistics, curve and cross tables for residual NMB on different TOFR criteria with sub-analysis for AR, RR, and OR in patients over 65 years old. Results We included 57 patients, mean age 41; 43 females and 14 males. Mean anesthetic and surgical time were 139.4 and 116.1 min, respectively. All the patients received rocuronium under a mean ponderal single-dose of 0.48 mg/kg. Residual NMB rates were 29.9 and 49.1% for a TOFR < 0.91 and < 1.00, respectively. Older adults had an OR of 6.08 for residual NMB. Conclusions The rate of residual NMB was 29.9 to 49.1%, depending on the criteria used (TOFR < 0.91 and < 1.00, respectively). Patients above 65 years old had an increased risk of residual NMB (6.08 OR) and clinical symptoms related to residual NMB (11.75 OR). We recommend future research aiming to provide a specific surveillance protocol for patients above 65 years old, including shorter-action NMB, early reversal, and prolonged surveillance using the TOFR criteria of < 1.00 to identify patients at risk of residual NMB readily.

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Section: Introductionmentioning

confidence: 99%

Rate of residual neuromuscular block using single-dose rocuronium in general anesthesia for ENT surgery: a retrospective cohort study

et al. 2023

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“…Nevertheless, for accurate diagnosis and determination of the obstruction site as well as surgical planning, MRI is more superior to CT scan. MRI is capable of detecting thin membranes that might interfere with CSF circulation [3,8] . Also, CSF flow dynamics can be observed with T2-weighted sagittal inversion recovery turbo spin echo and cine phase-contrast MRI [3,8] .…”

Section: Discussionmentioning

confidence: 99%

“…MRI is capable of detecting thin membranes that might interfere with CSF circulation [3,8] . Also, CSF flow dynamics can be observed with T2-weighted sagittal inversion recovery turbo spin echo and cine phase-contrast MRI [3,8] . In our cases, a combination of both CT scan and MRI was used to evaluate our patients.…”

Section: Discussionmentioning

confidence: 99%

“…Entrapped temporal horn (ETH) syndrome is a rare form of localized noncommunicating hydrocephalus, which is often detected after treatment of lesions around the trigone area (atrium) of the lateral ventricles [1][2][3] . In ETH patients, the choroid plexus within the temporal horn causes gradual dilation of the temporal horn due to continuous secretion and accumulation of cerebrospinal fluid (CSF) [2] .…”

mentioning

confidence: 99%

“…Symptomatology like headache, seizures, hemiparesis, or visual field deficits are often observed in patients with ETH syndrome [1] . Computed tomographic (CT) scan and magnetic resonance imaging (MRI) are the radiologic modalities used in detecting ETH [2,3,8] . Although standard as well as optimal treatments have not been determined yet, treatment often focuses on resolving the hydrocephalus [4,5] .…”

mentioning

confidence: 99%

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Entrapped temporal horn syndrome: a retrospective analysis of 5 case series

Zhuang

Richard

Zhou

et al. 2022

International Journal of Surgery: Global Health

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Introduction: Entrapped temporal horn (ETH) syndrome is a rare form of localized noncommunicating hydrocephalus, which is often associated with the treatment of lesions around the trigone area (atrium) of the lateral ventricles. So far, only a few cases have been reported in the literature. Thus, we present our experience with the causes and management of patients with ETH syndrome at our institution. Materials and method: We retrospectively analyzed clinical data of 5 patients with ETH syndrome treated at our facility from July 2018 to August 2021. Patients’ data such as age, sex, initial disease, clinical presentation, radiologic diagnosis, treatment, and outcomes were documented and analyzed. Results: Our patients comprise of 3 females and 2 males. Their ages ranged from 42 to 85 years, with a mean age of 62 years. Postoperative adhesions caused ETH in 3 patients while meningioma and intracranial infection cause the ETH in 2 patients, respectively. One patient was treated via craniotomy, 3 patients were treated via shunting while 1 patient was treated conservatively. The ETH resolved in 4 patients, while no resolution was attained in 1 patient. Conclusion: Definitive treatments via craniotomy or shunting were capable of resolving the ETHs, while conservative treatment did not result in spontaneous resolution. Unresected meningioma around the trigone of the lateral ventricle is capable of causing the ETH, contrary to the notion that, infection or postoperative adhesions are the key causes of ETH. Thus, neurosurgeons ought to be on a lookout for ETH when treating lesions around the trigone area of the lateral ventricles.

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Management of entrapped temporal horn: Literature review and operative technique for endoscopic fenestration

Al Risi,

Mathon,

Touat

et al. 2024

Clinical Neurology and Neurosurgery

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Endoscopic Intraventricular Atrial Adhesiolysis for the Treatment of Entrapped Temporal Horn after İntraventricular Tumor Surgery

Cited by 5 publications

References 5 publications

Rate of residual neuromuscular block using single-dose rocuronium in general anesthesia for ENT surgery: a retrospective cohort study

Rate of residual neuromuscular block using single-dose rocuronium in general anesthesia for ENT surgery: a retrospective cohort study

Entrapped temporal horn syndrome: a retrospective analysis of 5 case series

Management of entrapped temporal horn: Literature review and operative technique for endoscopic fenestration

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