Anesthetic Management of Neonatal Occipital Meningoenchephalocele-Comparative Analysis of Lateral versus Supine Intubation Techniques
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Abstract
Occipital meningoencephalocele is a rare neural tube defect presenting challenging anesthetic management due to a difficult airway and risk of sac rupture. This report presents two neonates with different lesion sizes managed using contrasting intubation techniques: lateral positioning with manual finger guidance in a 15-day-old with a massive lesion and microcephaly, and supine positioning with doughnut-shaped cushion support in a 2-day-old with a moderate lesion. Both cases achieved successful first-pass intubation with no intraoperative complications. This comparison demonstrates the importance of individualized airway management strategies based on lesion size and anatomy.
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[3] Pahuja HD, Deshmukh SR, Lande SA, Palsodkar SR, Bhure AR. Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report. Egypt J Anaesth. 2015; 31(4):331-4.
[4] Jain K, Sethi SK, Jain N, Patodi V. Anaesthetic management of a huge occipital meningoencephalocele in a 14 days old neonate. Ain Shams J Anesthesiol. 2018;10:13.
[5] Suarjaya IP, Kharisma CF, Sutawan IK. Penatalaksanaan Anestesi Neonatus yang Menjalani Pembedahan Koreksi Giant Unruptured Occipital Meningoencephalocele. J Neuroanestesi Indones. 2023; 12(1):32-40.
[6] Dey N, Gombar KK, Khanna AK, Khandelwal P. Airway management in neonates with occipital encephalocele: adjustments and modifications. Paediatr Anaesth. 2007; 17(11):1119-20.
[7] Yιldιrιm ZB, Avci E, Torun F, Cengiz M, Cigdem A, Karabağ H, et al. Airway management for occipital encephalocele in neonatal patients: A review of 17 cases. J Neurosci Rural Pract. 2011; 2(2):159-61.
[8] Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D; CARE Group. The CARE guidelines: consensus-based clinical case reporting guideline development. Headache. 2013; 53(10):1541-7.
[9] Seidahmed MZ, Abdelbasit OB, Shaheed MM, Alhussein KA, Miqdad AM, Khalil MI, et al. Epidemiology of neural tube defects. Saudi Med J. 2014; 35 Suppl 1(Suppl 1):S29-35.
[2] Ibrahim AF, Ayen B, Belayneh T, Dereje T. Anaesthetic managements of 16 days’ neonate with large occipital meningeoencephalocele in a resource-limited setting, Ethiopia: a clinical case report and review of literature. Ann Med Surg (Lond). 2024; 86(3):1720-3.
[3] Pahuja HD, Deshmukh SR, Lande SA, Palsodkar SR, Bhure AR. Anaesthetic management of neonate with giant occipital meningoencephalocele: Case report. Egypt J Anaesth. 2015; 31(4):331-4.
[4] Jain K, Sethi SK, Jain N, Patodi V. Anaesthetic management of a huge occipital meningoencephalocele in a 14 days old neonate. Ain Shams J Anesthesiol. 2018;10:13.
[5] Suarjaya IP, Kharisma CF, Sutawan IK. Penatalaksanaan Anestesi Neonatus yang Menjalani Pembedahan Koreksi Giant Unruptured Occipital Meningoencephalocele. J Neuroanestesi Indones. 2023; 12(1):32-40.
[6] Dey N, Gombar KK, Khanna AK, Khandelwal P. Airway management in neonates with occipital encephalocele: adjustments and modifications. Paediatr Anaesth. 2007; 17(11):1119-20.
[7] Yιldιrιm ZB, Avci E, Torun F, Cengiz M, Cigdem A, Karabağ H, et al. Airway management for occipital encephalocele in neonatal patients: A review of 17 cases. J Neurosci Rural Pract. 2011; 2(2):159-61.
[8] Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D; CARE Group. The CARE guidelines: consensus-based clinical case reporting guideline development. Headache. 2013; 53(10):1541-7.
[9] Seidahmed MZ, Abdelbasit OB, Shaheed MM, Alhussein KA, Miqdad AM, Khalil MI, et al. Epidemiology of neural tube defects. Saudi Med J. 2014; 35 Suppl 1(Suppl 1):S29-35.
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| Issue | Article in Press |
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| Section | Case Report(s) | |
| Keywords | ||
| occipital meningoenchephalocele neonatal anesthesia difficult airway lateral intubation | ||
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How to Cite
1.
Anindito G, Semedi B, Santosa D. Anesthetic Management of Neonatal Occipital Meningoenchephalocele-Comparative Analysis of Lateral versus Supine Intubation Techniques. Arch Anesth & Crit Care. 2026;.
