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Delayed refractory hyperventilation following endoscopic third ventriculostomy in a 5-year-old boy

J Merola1, E Liang2, J Hoskins2

  • 1Neurosurgery Department, Waikato Hospital, Hamilton, 3210, New Zealand. merolaj@doctors.org.uk.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|March 23, 2016
PubMed

Insights

A 5-year-old boy experienced severe hyperventilation after endoscopic third ventriculostomy, a rare complication previously seen only in adults. This case highlights a potential pediatric risk following the procedure.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Critical Care Medicine

Background:

  • Endoscopic third ventriculostomy (ETV) is a neurosurgical procedure to treat hydrocephalus.
  • Hyperventilation is a known but rare complication post-neurosurgery.
  • Delayed onset and intractable hyperventilation are exceptionally uncommon sequelae.

Observation:

  • A 5-year-old boy presented with delayed onset intractable hyperventilation.
  • The symptoms occurred after undergoing an endoscopic third ventriculostomy.
  • This presentation is unusual in the pediatric population.

Findings:

  • The patient developed severe, persistent hyperventilation.
  • The proposed etiology for this rare phenomenon is discussed.
  • This is the first reported case in a child, with prior reports limited to adults.

Implications:

  • This case expands the known spectrum of complications following ETV to include pediatric patients.
  • It suggests the need for increased vigilance for delayed respiratory complications in children post-ETV.
  • Further research may be warranted to understand the pathophysiology and risk factors in pediatric populations.

Keywords:
Central neurogenic hyperventilationEndoscopic third ventriculostomyHyperventilation

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