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Anesthesia for Minimally Invasive Cranial and Spinal Surgery

Schubert, Armin MD, MBA*; Deogaonkar, Anupa MD, MPhil†; Lotto, Michelle MD*; Niezgoda, Julie MD‡; Luciano, Mark MD, PhD§

Journal of Neurosurgical Anesthesiology:
Review
Abstract

The field of minimally invasive neurosurgery has evolved rapidly in its indications and applications over the last few years. New, less invasive techniques with low morbidity and virtually no mortality are replacing conventional neurosurgical procedures. Providing anesthesia for these procedures differs in many ways from conventional neurosurgical operations. Anesthesiologists are faced with the perioperative requirements and risks of newly developed procedures. This review calls attention to the anesthetic issues in various minimally invasive neurosurgical procedures for cranial and spinal indications. Among the procedures specifically discussed are endoscopic third ventriculostomy, endoscopic transsphenoidal hypophysectomy, endoscopic strip craniectomy, deep brain stimulation, video-assisted thorascopic surgery, vertebroplasty and kyphoplasty, cervical discectomy and foraminectomy, and laparoscopically assisted lumbar spine surgery.

Author Information

From the *Department of General Anesthesiology, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH; †Division of Anesthesiology and Critical Care, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH; ‡Section of Pediatric Anesthesia, Department of General Anesthesiology, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH; and §Section of Pediatric and Congenital Neurosurgery, Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH.

Received for publication March 2, 2005; revised August 16, 2005; accepted September 26, 2005.

Reprints: Armin Schubert, Department of General Anesthesiology, E-31, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195 (e-mail: schubea@ccf.org).

© 2006 Lippincott Williams & Wilkins, Inc.