Key result
Narcotrend monitor successfully detects cerebral hypoperfusion during occipitocervical fusion in a pediatric Trisomy 21 case.
Case Report (n=1)
The Narcotrend monitor may be a useful tool for detecting surgery-induced cerebral hypoperfusion during complex pediatric spinal surgeries.
A 9-year-old female with Trisomy 21 with complex craniovertebral instability causing severe cervicomedullary compression underwent occipitocervical fusion. This paper will discuss the anaesthetic management and highlight the use of the Narcotrend monitor not only as a depth of consciousness monitor but more importantly as a tool to detect surgery-induced cerebral hypoperfusion by monitoring the right and left cerebral hemispheres independently and simultaneously.
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Villa et al. (2020) conducted a case report in Trisomy 21 with complex craniovertebral instability causing severe cervicomedullary compression (n=1). Narcotrend monitor was evaluated. The Narcotrend monitor was used successfully during occipitocervical fusion in a 9-year-old with Trisomy 21 to monitor depth of consciousness and detect surgery-induced cerebral hypoperfusion.
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