Comparison of ramosetron and ondansetron for prevention of early and delayed post-operative nausea and vomiting following craniotomy

O. Siddiqui
2017 18th Annual Conference of Indian Society of Neuroanaesthesiology and Critical Care (ISNACC 2017)   unpublished
photophobia with no neurological sign. Urgent brain CT and venogram showed bilateral SDH with downward displacement of brainstem and distended venous sinuses s/o SIH. MRI Brain and myelography confirmed bilateral SDH and site of CSF leak could not be detected. Diagnosis of intracranial hypovolemic syndrome was made. Patient underwent bilateral burr hole drainage of SDH, blind Lumbar EBP was tried twice with no success. CT myelogram repeated still not s/o any leaks. EBP tried with the 18G
more » ... with the 18G epidural needle in T11-T12, under aseptic conditions 30 cc blood slowly injected in same space and catheter removed CT confirmation done, dressing and head low given. CT brain and MRI repeated shows decreased SDH, cerebral edema and midline shift with increased in cistern size and improvement in sensorium of the patient over the time. Conclusion: Management of SDH should focus on correction of underlying SIH. CT guided epidural blood patching in the thoracic or cervical spine should be considered for SIH when lumbar blood patching fails.
doi:10.1055/s-0038-1646266 fatcat:t4zuzuujsbezxow4ghequhix74