Thorough perioperative and anesthetic considerations for cerebellar syndrome induced by posterior fossa tumors

Katya Paola Lastra-Terán 1, *, Abel Enrique Manjarres Guevara 1, Hans Fred García-Araque 2, Andrés Soler Sandoval 2 and Juan Sebastián Correa Estepa 2

1 Department of Medicine and Health Sciences, Universidad del Norte, Barranquilla, Colombia.
2 Department of Anesthesiology, Hospital Militar Central, Bogotá, Colombia.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 23(02), 1328–1332
Article DOI: 10.30574/wjarr.2024.23.2.2452
 
Publication history: 
Received on 05 July 2024; revised on 12 August 2024; accepted on 14 August 2024
 
Abstract: 
Posterior fossa tumors are relatively rare pathologies, predominantly observed in pediatric populations. Nevertheless, there have been documented cases in adults, where these tumors are often associated with a higher prevalence of vascular lesions compared to those found in children. Given the inherent high mortality risk associated with this condition, meticulous anesthetic management is paramount. A comprehensive evaluation of patient-specific factors, including existing comorbidities, hemodynamic stability, and neurological status, is essential. Moreover, perioperative considerations such as patient positioning, the choice of anesthetic technique, and the duration of the surgical procedure must be carefully planned to optimize outcomes. This article presents a case review of a young adult patient with no significant medical history who was diagnosed with a posterior fossa tumor. The discussion encompasses the anatomical considerations of this pathology, critical preoperative assessments, anesthetic strategies tailored to this surgical context, and an analysis of the patient’s postoperative course.
 
Keywords: 
Posterior Fossa Tumors; Cerebellar Syndrome; Perioperative Management; Anesthetic Techniques; Neurophysiological Monitoring; Surgical Positioning
 
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