This type of non-invasive monitoring allows surgery to proceed without delay and provides excellent information of the hemodynamic status. This syndrome is relevant due to its anaesthetic implications and the paucity of cases published to date.
Haemodynamic management by non invasive cardiac output monitor for emergency craniotomy in fragile X syndrome: Case report
 
  Keywords
 
 
  
   Blood pressure
  
 
 
  
   Hemodynamics
  
 
 
  
   Cerebrovascular trauma
  
 
 
  
   Heart valve diseases
  
 
 
  
   Fragile X syndrome
  
 
Abstract
 Fragile-X syndrome is an inherited form of <dis>mental retardation</dis> with a connective tissue component involving mitral valve prolapse.
The most frequent manifestations of fragile-X syndrome are <dis>learning disability</dis>, orofacial morphological alterations and macroorchidism.
The usefulness of advanced haemodynamic monitoring for goal-directed therapy is increasingly high during neurosurgical procedures.
Non-invasive cardiac output monitoring may be considered as a new alternative for emergency neurosurgical procedures.
Our aim was to detect hemodynamic changes in a syndromic fragile-X patient, given the usual concomitant presentation of cardiovascular disease, such as mitral valve prolapse and dilated aortic root, in an attempt at obtaining the best intraoperative and postoperative neurological outcomes without worsening cardiovascular function, by means of individualised intra-operative goal directed therapy.
This type of non-invasive monitoring allows surgery to proceed without delay and provides excellent information of the hemodynamic status.
This syndrome is relevant due to its anaesthetic implications and the paucity of cases published to date.
Abstract
 Fragile-X syndrome is an inherited form of mental retardation with a connective tissue component involving mitral valve prolapse.
The most frequent manifestations of fragile-X syndrome are learning disability, orofacial morphological alterations and macroorchidism.
The usefulness of advanced haemodynamic monitoring for goal-directed therapy is increasingly high during neurosurgical procedures.
Non-invasive cardiac output monitoring may be considered as a new alternative for emergency neurosurgical procedures.
Our aim was to detect hemodynamic changes in a syndromic fragile-X patient, given the usual concomitant presentation of cardiovascular disease, such as mitral valve prolapse and dilated aortic root, in an attempt at obtaining the best intraoperative and postoperative neurological outcomes without worsening cardiovascular function, by means of individualised intra-operative goal directed therapy.
This type of non-invasive monitoring allows surgery to proceed without delay and provides excellent information of the hemodynamic status.
This syndrome is relevant due to its anaesthetic implications and the paucity of cases published to date.
This type of non-invasive monitoring allows surgery to proceed without delay and provides excellent information of the hemodynamic status. This syndrome is relevant due to its anaesthetic implications and the paucity of cases published to date.