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Sitting position for pineal surgery: Some anaesthetic considerations
1Pierre Wertheimer Neurosurgical and Neurological Hospital, Hospices Civils de Lyon, 59, boulevard Pinel, 69500 Bron, France.
Introduction:
The sitting position for pineal tumour removal remains controversial as regards the number of potential complications despite good surgical conditions.
Method:
A systematic review of the literature was conducted in order to record the most frequent complications observed in this position, their incidence and prevention.
Results:
Venous 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.
Conclusion:
In training teams, the sitting position remains the gold standard for pineal tumour removal.
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