A retrospective study of neurological complications in pediatric patients with moyamoya disease undergoing general anesthesia
Anesthesia & Analgesia Jan 20, 2021
Lang SS, Vollmer E, Wu L, et al. - During anesthetic care in patients with moyamoya disease, the typical goals used are adequate volume status and blood pressure, tight control of carbon dioxide to achieve normocarbia, and providing postoperative analgesia to prevent hyperventilation. Researchers here examined postanesthesia neurological complications in moyamoya patients undergoing general anesthesia for imaging studies and surgical procedures excluding neurosurgical revascularization. They included a total of 58 patients undergoing 351 anesthesia exposures. Over a 16-year period at the hospital, 3 children with moyamoya disease who underwent anesthesia for nonneurosurgical-revascularization purposes had development of neurological complications, including focal neurological weakness, seizure, and altered mental status. The symptoms were consistent with transient ischemic attacks and their resolution occurred without long-term sequelae.
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