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Anaesthetic considerations due to decreased body fat include positioning to avoid pressure necrosis, measures to avoid hypothermia, proper drug dosing, treating electrolyte imbalances and delayed recovery. We report successful anaesthetic management of a child with diencephalic syndrome scheduled for an endoscopic biopsy of suprasellar space occupying lesion under general anaesthesia.<\/jats:p>","DOI":"10.1136\/bcr-2019-230394","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T06:11:15Z","timestamp":1562652675000},"page":"e230394","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Diencephalic syndrome: an anaesthetic challenge"],"prefix":"10.1136","volume":"12","author":[{"given":"Bhim Raju","family":"Roncall","sequence":"first","affiliation":[{"name":"Anesthesia, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Snigdha","family":"Bellapukonda","sequence":"additional","affiliation":[{"name":"Anesthesia, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chitta Ranjan","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Trauma and Emergency, All India Institute of Medical Science, Bhuvaneshwar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,8]]},"reference":[{"key":"2025082710023291000_12.7.e230394.1","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1542\/peds.45.2.295","article-title":"Optic glioma presenting as spasmus nutans","volume":"45","author":"Kelly","year":"1970","journal-title":"Pediatrics"},{"key":"2025082710023291000_12.7.e230394.2","unstructured":"Packer RJ , Syndrome D . 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