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Reverse brain herniation during posterior fossa surgery

Hemanshu Prabhakar1, G Umesh, R S Chouhan

  • 1Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India.

Insights

Posterior fossa tumors can cause obstructive hydrocephalus. Rapid cerebrospinal fluid drainage during surgery can lead to reverse brain herniation, a rare but serious complication successfully managed with saline injection.

Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Critical Care Medicine

Background:

  • Posterior fossa tumors frequently cause obstructive hydrocephalus, necessitating cerebrospinal fluid (CSF) diversion.
  • Surgical intervention for these tumors carries a risk of intracranial pressure (ICP) fluctuations.
  • Rapid CSF drainage can precipitate paradoxical brain herniation, known as reverse coning.

Observation:

  • A 5-year-old male with a posterior fossa tumor and hydrocephalus underwent craniectomy in the prone position.
  • An intraventricular shunt catheter was placed post-craniotomy to decompress the brain.
  • The patient experienced sudden, severe bradycardia and asystole, indicative of reverse coning.

Findings:

  • Reverse coning was diagnosed following rapid CSF drainage.
  • Prompt intraventricular injection of 10-15 mL normal saline reversed the bradycardia and asystole.
  • The patient's cardiac rhythm spontaneously returned to sinus rhythm.

Implications:

  • This case highlights the critical risk of reverse coning during CSF diversion in posterior fossa surgery.
  • Intraventricular saline injection is a potentially life-saving, rapid intervention for reverse coning.
  • Neurosurgeons must be vigilant for and prepared to manage this rare but dangerous complication.

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