Anesthesia and intracranial arteriovenous malformation.

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dc.contributor.authorSinha, Prabhat Kumaren_US
dc.contributor.authorNeema, Praveen Kumaren_US
dc.contributor.authorRathod, Ramesh Chandraen_US
dc.date.accessioned2004-06-23en_US
dc.date.accessioned2009-06-03T11:48:01Z
dc.date.available2004-06-23en_US
dc.date.available2009-06-03T11:48:01Z
dc.date.issued2004-06-23en_US
dc.description60 references.en_US
dc.description.abstractAnesthetic management of intracranial arteriovenous malformation (AVM) poses multiple challenges to the anesthesiologist in view of its complex and poorly understood pathophysiology and multiple modalities for its treatment involving different sub-specialties. The diagnosis of AVM is based on clinical presentation as well as radiological investigation. Pregnant patients with intracranial AVM and neonates with vein of Galen malformation may also pose a special challenge and require close attention. Despite technological advancement, reported morbidity or mortality after AVM treatment remains high and largely depends on age of the patient, recruitment of perforating vessels, its size, location in the brain, history of previous bleed and post-treatment hyperemic complication. Anesthetic management includes a thorough preoperative visit with meticulous planning based on different modalities of treatment including anesthesia for radiological investigation. Proper attention should be directed while transporting the patient for the procedure. Protection of the airway, adequate monitoring, and maintaining neurological and cardiovascular stability, and the patient's immobility during the radiological procedures, appreciation and management of various complications that can occur during and after the procedure and meticulous ICU management is essential.en_US
dc.description.affiliationDepartment of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, India. pksinha@sctimst.ac.inen_US
dc.identifier.citationSinha PK, Neema PK, Rathod RC. Anesthesia and intracranial arteriovenous malformation. Neurology India. 2004 Jun; 52(2): 163-70en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121129
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAnesthesiaen_US
dc.subject.meshEmbolization, Therapeutic --adverse effectsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntracranial Arteriovenous Malformations --radiographyen_US
dc.subject.meshNeurosurgical Procedures --adverse effectsen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Complications, Cardiovascular --surgeryen_US
dc.subject.meshTomography, X-Ray Computeden_US
dc.titleAnesthesia and intracranial arteriovenous malformation.en_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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