Anesthesiologist’s Perspective on a Child with Acute Lymphoblastic Leukemia undergoing Neurosurgery: Case Report

Shalvi Mahajan; Kirandeep Kaur; Priya Thappa; Aparna Deperu; Vinitha Narayanan

doi:10.18502/aacc.v10i3.15701

Shalvi Mahajan Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
Kirandeep Kaur Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
Priya Thappa Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
Aparna Deperu Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
Vinitha Narayanan Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.

DOI: https://doi.org/10.18502/aacc.v10i3.15701

Keywords: Acute lymphoblastic leukemia; Pediatric neurosurgery; Anesthetic technique

Abstract

Acute lymphoblastic leukemia (ALL) is the most common hematological malignancy in the pediatric age group. Anesthesia in such patients necessitates special considerations, in terms of disease progression and its respective treatment as well. We present a case of a 2-year-old child, a known case of ALL posted for drainage of multifocal brain abscess under general anesthesia. Anesthetic management of children with ALL presenting for neurosurgical procedures should focus on disease and its various systemic manifestations, treatment-related side effects, and anesthetic interactions which sometimes may be disastrous