{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T07:29:36Z","timestamp":1657265376501},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Brainstem anesthesia is a transient loss of brainstem function usually associated with retrobulbar block and rarely seen by neurosurgeons.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>Here, we report a case of brainstem anesthesia during shunt revision operation in a 79-year-old woman. Local anesthesia administered at the end of surgery was thought to have infiltrated the subarachnoid space through a burr hole, causing prolonged unconsciousness and cranial nerves\u2019 impairment. Spontaneous resolution occurred during systemic support.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>As brainstem anesthesia may occur by leakage of local anesthetic through small burr holes, timing injections carefully can avoid this rare complication.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1196_2021","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T09:33:01Z","timestamp":1648719181000},"page":"122","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Brainstem anesthesia during removal operation of ventriculoperitoneal shunt \u2013 A case report"],"prefix":"10.25259","volume":"13","author":[{"given":"Satoshi","family":"Miyamoto","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Go","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Akimoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryota","family":"Mashiko","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Uemura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiichi","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"10.25259\/SNI_1196_2021\/ref-1","first-page":"343","article-title":"Respiratory arrest after retrobulbar anaesthesia","volume":"21","author":"Ashaye","year":"2002","journal-title":"West Afr J Med"},{"key":"10.25259\/SNI_1196_2021\/ref-2","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.tacc.2013.06.001","article-title":"Brainstem anaesthesia revisited: Mechanism, presentation and management","volume":"3","author":"Chin","year":"2013","journal-title":"Trends Anaesth Crit Care"},{"key":"10.25259\/SNI_1196_2021\/ref-3","doi-asserted-by":"crossref","first-page":"60","DOI":"10.3171\/2012.3.PEDS11394","article-title":"Transient perioperative brainstem paralysis secondary to a local anesthetic","volume":"10","author":"Joannides","year":"2012","journal-title":"J Neurosurg 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Anesth"},{"key":"10.25259\/SNI_1196_2021\/ref-7","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1213\/00000539-198712000-00017","article-title":"Central nervous system complications after 6000 retrobulbar blocks","volume":"66","author":"Nicoll","year":"1987","journal-title":"Anesth Analg"},{"key":"10.25259\/SNI_1196_2021\/ref-8","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/j.1365-2044.2006.04894.x","article-title":"Death potentially secondary to subTenon\u2019s block","volume":"62","author":"Quantock","year":"2007","journal-title":"Anaesthesia"},{"key":"10.25259\/SNI_1196_2021\/ref-9","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1016\/S0001-2092(06)62134-0","article-title":"The effects of local anesthetics on postoperative pain","volume":"68","author":"Roberge","year":"1998","journal-title":"Aorn J"},{"key":"10.25259\/SNI_1196_2021\/ref-10","doi-asserted-by":"crossref","first-page":"589","DOI":"10.4314\/ejhs.v26i6.13","article-title":"Brainstem anesthesia after retrobulbar block: A case report and review of literature","volume":"26","author":"Tolesa","year":"2016","journal-title":"Ethiop J Health Sci"},{"key":"10.25259\/SNI_1196_2021\/ref-11","doi-asserted-by":"crossref","first-page":"339","DOI":"10.3390\/ijms17030339","article-title":"Local anesthetic-induced neurotoxicity","volume":"17","author":"Verlinde","year":"2016","journal-title":"Int J Mol Sci"},{"key":"10.25259\/SNI_1196_2021\/ref-12","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1213\/XAA.0000000000000591","article-title":"Stepwise rostrocaudal brainstem anesthesia as a complication of local anesthesia: A case report","volume":"9","author":"Waters","year":"2017","journal-title":"A A Case Rep"},{"key":"10.25259\/SNI_1196_2021\/ref-13","first-page":"1704","article-title":"Differentiation of brain stem anesthesia from high spinal anesthesia using auditory brain stem response","volume":"39","author":"Yamashiro","year":"1990","journal-title":"Masui"}],"container-title":["Surgical Neurology 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