Valsalva's Maneuver for Removal of Intraventricular Cyst

Journal Title: International Journal of Neurology and Neurosurgery - Year 2017, Vol 9, Issue 1

Abstract

The Valsalva’s maneuver is a time-honored technique that is commonly used at the clinical practice for the evaluation of heart murmurs, left ventricular and autonomic dysfunction. Valsalva maneuver (VM) is commonly practiced in neurosurgical patients to check for CSF leak after closure of dura and to see venous oozing at the end of surgery. This VM method has also been used to facilitate removal of pituitary tumors in trans-sphenoidal approach. Though VM can result in marked hemodynamic changes, but if it is used judiciously and for brief duration, can result in improved outcomes of anaesthetised neurosurgical patients. We wish to share our experience of use of VM for the extrusion of intact fourth ventricle cyst which helped to minimize the dissection and thus helping to preserve neurological function.

Authors and Affiliations

Rajnish Kumar Arora

Keywords

Related Articles

Primary Diffuse Leptomeningeal Gliomatosis Primararily Involving the Spinal Cord Simulating Tuberculous Meningitis

Primary leptomeningeal gliomatosis is a rare, neoplastic syndrome which is highly fatal. Here is a 15 year female presenting with weakness of both lower limbs for 3 months of duration. Started on ATT presuming as tubercu...

Clinical Profile of Unknown Patients with Head Injuries in a Tertiary Care Centre in India: Clinical Profile and Outcome

Background: Unknown patients represent a particularly vulnerable group. They are usually neglected individuals, with improper access to proper nutrition, sanitation and health care. They often harbour numerous comorbidit...

Clinical Significance of AQP4 Antibody Detection in Chinese Patients with Neuromyelitis Optica (NMO) and High-Risk NMO: A Meta-Analysis

Aim: To determine the prognostic value of AQP4 (aqua protein 4) antibody in the cohort of Chinese patients, and evaluate the diagnosis of AQP4 antibody detection inneuromyelitisoptica (NMO) and HRNMO (highrisk NMO), and...

A Comparison of Pre Operative and Post Operative Clinical Signs with Electrophysiological Parameters in Degenerative Lumbar Disc Disease

In this present world, Low Back Ache is a common debilitating problem. It is mostly because of degenerative disc disease. There is no definitive management available to evaluate the patient before surgery and predict the...

Study of Rare Migraine Variants Not Defined in ICHD-3

Migraine variants are atypical presentations of migraine in form of associated clinical features with or without headache in episodic pattern. These disorders are difficult to diagnose and require out of the box thinking...

Download PDF file
  • EP ID EP466584
  • DOI 10.21088/ijnns.0975.0223.9117.12
  • Views 107
  • Downloads 0

How To Cite

Rajnish Kumar Arora (2017). Valsalva's Maneuver for Removal of Intraventricular Cyst. International Journal of Neurology and Neurosurgery, 9(1), 61-63. https://europub.co.uk./articles/-A-466584