Paediatric anaesthesia
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Paediatr Anaesth
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Paediatric anaesthesia · Feb 2024
Case ReportsNeurogenic myocardial dysfunction post craniopharyngioma resection: A diagnostic dilemma.
Endoscopic transsphenoidal resection of craniopharyngioma is a commonly used technique. Cerebral vasospasm may occur in nearly 10% of cases leading to adverse neurological outcomes. ⋯ Here, we describe such a case managed with a combination of milrinone (to relieve vasospasm and improve cardiac pump function), noradrenaline (to obtain target blood pressure), and vasopressin (to control urine output). This case report proposes the treatment plan of neurogenic stunned myocardium following vasospasm in pediatric patients.