• Neurochirurgie · Apr 2015

    Review

    Sitting position for pineal surgery: Some anaesthetic considerations.

    • F Dallier and C Di Roio.
    • Pierre Wertheimer Neurosurgical and Neurological Hospital, Hospices Civils de Lyon, 59, boulevard Pinel, 69500 Bron, France. Electronic address: frederic.dailler@chu-lyon.fr.
    • Neurochirurgie. 2015 Apr 1; 61 (2-3): 164-7.

    IntroductionThe sitting position for pineal tumour removal remains controversial as regards the number of potential complications despite good surgical conditions.MethodA systematic review of the literature was conducted in order to record the most frequent complications observed in this position, their incidence and prevention.ResultsVenous air embolism, hypotension, pneumocephalus, macroglossia, quadriplegia and nerve injuries are the most frequent complications observed. Their incidence can be dramatically decreased with an accurate anesthesiological and neurosurgical management.ConclusionIn training teams, the sitting position remains the gold standard for pineal tumour removal.Copyright © 2014 Elsevier Masson SAS. All rights reserved.

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