Low Baseline Bispectral Index Values in a Patient With Gross Hydrocephalus

Prabhakar, Hemanshu; Rath, Girija Prasad; Ali, Zulfiqar; Dewan, Preeti

doi:10.1097/ana.0b013e3181616c5f

Cited by 3 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Anesthetics (volatile and intravenous) and anticonvulsants both act in the gamma aminobutyric acid (GABA) receptor in the central nervous system. Except cases of syndromic children, unusually low BIS values have been seen during cerebral ischemia [ 10 ] and hydrocephalus [ 11 ]. The possible explanation of these low BIS values was suggested to be caused by decreased cerebral perfusion.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management and Bispectral Index in a Child with Miller–Dieker Syndrome: A Case Report

et al. 2023

View full text Add to dashboard Cite

Miller–Dieker syndrome (MDS) is a genetic disorder characterized by classic lissencephaly, distinctive facial features, intellectual disability, seizures, and early death. The anesthetic management of patients with MDS should focus on airway manipulation with the risk of potentially difficult intubation, seizure control due to lissencephaly, and any other clinical complications. Herein, we report a case of anesthetic management in a child with MDS and describe relevant clinical features in a perioperative anesthetic setting. This case highlights the importance of difficult airway manipulation using a videolaryngoscope, seizure management with regard to anesthetics use, and the low validity of BIS monitoring in patients with MDS.

show abstract

Section: Discussionmentioning

confidence: 99%

Anesthetic Management and Bispectral Index in a Child with Miller–Dieker Syndrome: A Case Report

et al. 2023

View full text Add to dashboard Cite

show abstract

“…S ir —Bispectral index (BIS), an established tool to monitor depth of anesthesia has recently been proposed as an alternative to conventional electroencephalography (EEG) for monitoring seizure activity (1). Previously, an unusual low BIS value has been found associated with cerebral ischemia (2), dementia (3), and hydrocephalus (4). We encountered sustained low BIS in a child of Dandy‐Walker syndrome after seizure control with barbiturates.…”

mentioning

confidence: 99%

“…This could probably be explained on basis of a possible low basal BIS value as a result of cerebral hypoperfusion. Low BIS values may be observed in patients with gross hydrocephalus due to cerebral hypoperfusion (4). Hydrocephalus as a result of malfunctioning shunt may have caused increased intracranial pressure with consequent decrease in cerebral perfusion and associated low BIS value.…”

mentioning

confidence: 99%