Multi-Modal Neuro-Monitoring and Anesthesia during Neurosurgery in a Child with Wolf-Parkinson-White Syndrome: A Case Report - Crimson Publishers

Multi-Modal Neuro-Monitoring and Anesthesia duringNeurosurgery in a Child with Wolf-Parkinson-White Syndrome: A Case Report by Bassel Zebian, Pedro Coelho, Merate-Kristos Place, Ali Ansaripour, Ayala Shirazi, Alison Goodwin and Chulananda Goonasekera* in Developments in Anaesthetics & Pain Management

Wolff Parkinson White (WPW) syndrome associates with life-threatening tachy-arrhythmias. We report anesthetic management of a child with WPW syndrome requiring neurosurgery to resect 3 tumourdeposits (in cerebral hemisphere, cerebellum and spinal cord) under the guidance of intra- operative neuro-physiological monitoring (IONM). Our purpose of this case report is to elucidate the anesthetic limitations in facilitating multiple modes of neuro-monitoring whilst minimizing the risk of triggering an arrhythmia in a child with WPW syndrome. We conclude that multiple modes of IONM is safely possible with a tailor made, proportionately adjusted, inhalational and intravenous general anesthetic with particular attention to the cumulative doses of intravenous agents used

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