Abstract：
Anterior encephaloceles are rare neural tube defects posing anesthetic challenges. While anterior encephaloceles can cause airway obstruction at birth, this presentation is very rare and to our knowledge not reported in the literature. This case report describes a 34 weeks +0 days gestation, 2.6 kg, newborn with a massive nasoethmoidal anterior encephalocele creating significant external airway obstruction, necessitating emergent and thoughtful airway management and anesthetic care. Our most important perioperative considerations for this newborn included spontaneous ventilation using awake fiberoptic bronchoscopic intubation with lidocaine airway topicalization, secure endotracheal tube attachment, and avoiding noninvasive positive airway pressure postoperatively to avoid pneumocephalus.
摘要：
前脑窝是罕见的神经管缺陷，构成了麻醉挑战。虽然前脑窝可在出生时导致气道阻塞，这种介绍是非常罕见的，据我们所知，文献中没有报道。此病例报告描述了34周+0天的妊娠，2.6kg,新生儿有大量的鼻筛前脑膨出，造成明显的气道外阻塞，需要紧急和周到的气道管理和麻醉护理。我们对该新生儿最重要的围手术期考虑因素包括使用清醒的纤维支气管镜插管和利多卡因气道局部化的自发通气，安全的气管内导管附件，术后避免无创气道正压通气以避免气颅。
