ANESTHETIC MANAGEMENT OF A 5-DAYS-OLD INFANT UNDERGOING CERVICAL MENINGOMYELOCELE REPAIR: A CASE REPORT

Abstract

Cervical meningomyelocele is a rare form of neural tube defect (NTD) that presents significant anesthetic and surgical challenges, particularly concerning airway management and intraoperative stability. The presence of a large posterior cervical mass restricts neck mobility, increasing the risk of difficult intubation. We report the case of a 5-days-old term neonate with a 6×6 cm cervical meningomyelocele who underwent surgical repair. This report details the anesthetic considerations, including airway management challenges, intraoperative ventilation strategies, fluid balance, and postoperative care. A ramp positioning technique facilitated successful intubation, and elective postoperative ventilation ensured a smooth recovery. This case highlights the importance of multidisciplinary planning and advanced airway management techniques in neonatal anesthesia for complex congenital conditions.