Anesthetic Considerations of Neurosarcoidosis-Induced Central Hyperventilation Syndrome
A 71-year old male with PMH of latent tuberculosis presented to the ED with new rapid onset neck pain, altered mental status, and dizziness. MRI revealed multiple areas of leptomeningeal enhancement, with mass effect impinging on brainstem and C1-C3 spinal cord. During admission the patient became increasingly tachypneic with significant respiratory alkalosis demonstrated on ABG, requiring intubation for airway protection. Decision was made to perform a biopsy of C1-C3 lesion for confirmation of neurosarcoidosis. In this presentation we will discuss pathophysiology of neurosarcoidosis, as well as perioperative anesthetic management of central hyperventilation syndrome.
Ahmed R, Lau S, Price MD. Anesthetic considerations of neurosarcoidosis-induced central hyperventilation syndrome. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 14; San Francisco, CA.