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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 8, Issue 3, October 2013 pp 252-253

Case Report

Anaesthetic Management of a Patient Undergoing Acoustic Neuroma Resection with Intraoperative Electromyographic Monitoring

Arun Mathur¹, Anand Rampure Vittal Rao², Prajeesh M .Nambiar³

^1,3Assistant professor, ²Professor, Department of Anaesthesiology and Critical Care, Kannur Medical College, Kannur, Kerala, INDIA.

Academic Editor : Dr. Aher K.R.

Acoustic neuromas are the most common benign tumours of the posterior cranial fossa, with an impending danger of injuring the facial nerve during its resection. Usage of intraoperative electromyographic (EMG) monitoring during resection will definitely reduce the possibilities of injuring the facial nerve, but as such pose a great anaesthetic challenge of maintaining a motionless patient while preserving the EMG response. We managed a case of Acoustic neuroma excision, in a patient with renal dysfunction, balancing the neuromuscular blockade level by administration of cisatracurium infusion under TOF watch monitoring without interfering with the EMG response.