| CASE REPORT |
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| Year : 2022 | Volume
: 17
| Issue : 1 | Page : 79-81 |
Mask ventilation in frontonasal meningoencephalocele: Case report
Shipra Verma, Konish Biswas, Sanjay Agrawal, Roshan Andleeb
Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Correspondence Address:
Prof. Sanjay Agrawal
Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpn.JPN_276_20
Frontonasal encephalocele is a rare anatomical variant of the meningoencephalocele. Peri-operative anesthesia concerns involve anticipated difficult mask ventilation as well as surgical complications such as compression and rupture of meningoencephalocele. The compression of encephalocele is associated with raised intracranial pressure (ICP) and even rupture of overlying skin leading to cerebrospinal fluid leak, hemorrhage, exposure of underlying frontal lobe, meningitis, seizures, and even death. We report a case of 6-year-old female presenting with rare variant of frontonasal encephalocele for bifrontal craniotomy, excision of encephalocele, and repair. Difficult mask ventilation was anticipated, and patient airway was managed with use of size 4 anatomical mask.
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