Perioperative management of an infant with huge hydrocephalus: a case report

Hydrocephalus is a progressive disease, so if a patient presents late in the couse of disease it is likely that the hydocephalus may have become massive. A huge hydrocephalus is typically defined as circumfrance of the head larger than length of the infant. Such patients present unique challenge for anaesthesiologist due to problems related to pediatric age group and altered neu- ro-physiology. Appropriate and well-coordinated man- agement of such patients by anaesthesiologist results in better outcome and goes a long way in reducing peri- operative morbidity and mortality.