Pediatric neuroanesthesia.

Recent advances in pediatric neurosurgery have drastically improved the outcome in infants and children afflicted with surgical lesions of the central nervous system (CNS). Because most of these techniques were first applied to adults, the physiologic and developmental differences that are inherent in pediatric patients present challenges to neurosurgeons and anesthesiologists alike. The aim of this paper is to highlight these age-dependent approaches to the pediatric neurosurgical patient.

Anaesthetic management of children with tuberous sclerosis.

Background: Tuberous sclerosis (TS) is a hamartomatous disease that usually presents with cutaneous and intracranial lesions, but can also affect other organ systems.

Methods: In this report, we retrospectively reviewed the perioperative course of 24 children with TS who had medically intractable seizures as the primary disease process.

Results: Cardiac rhabdomyoma was detected in 11 of 18 patients who had a cardiac evaluation, and coexisting congenital heart defects were diagnosed in six.

Pediatric neuroanesthesia.

The perioperative management of pediatric neurosurgical patients presents many challenges to neurosurgeons and anesthesiologists. Many conditions are unique to pediatrics. Thorough preoperative evaluation and open communication between members of the health care team are important.