Child's Nervous System

, Volume 32, Issue 9, pp 1731–1733 | Cite as

Delayed refractory hyperventilation following endoscopic third ventriculostomy in a 5-year-old boy

  • J. MerolaEmail author
  • E. Liang
  • J. Hoskins
  • V. Balakrishnan
  • P. Gan
Case Report


We present the case of a 5-year-old boy who developed a delayed onset intractable hyperventilation following endoscopic third ventriculostomy. The proposed aetiology of this exceptionally rare phenomenon is discussed. To our knowledge, previous cases have only been reported in the adult population.


Hyperventilation Endoscopic third ventriculostomy Central neurogenic hyperventilation 


Compliance with ethical standards

Conflict of interest

None declared

Informed consent

Informed consent was obtained from the individual patient/patient’s parents involved in this case report.


  1. 1.
    Adachi YU, Sano H, Doi M, Sato S (2007) Central neurogenic hyperventilation treated with intravenous fentanyl followed by transdermal application. J Anesth 21:417–419CrossRefPubMedGoogle Scholar
  2. 2.
    Fàbregas N, López A, Valero R, Carrero E, Caral L, Ferrer E (2000) Anesthetic management of surgical neuroendoscopies: usefulness of monitoring the pressure inside the neuroendoscope. J Neurosurg Anesthesiol 12:21–28CrossRefPubMedGoogle Scholar
  3. 3.
    Sung HJ, Sohn JT, Kim JG, Shin IW, Ok SH, Lee HK, et al. (2010) Acute respiratory alkalosis occurring after endoscopic third ventriculostomy: a case report. Korean J Anesthesiol 59:S194–S196CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Bluher S, Schulz M, Bierbach U, Meixensberger J, Trobs R-B, Hirsch W, Schober R, Kiess W, Siekmeyer W (2008) Central lactic acidosis, hyperventilation, and respiratory alkalosis: leading clinical features in a 3-year old boy with malignant meningeal melanoma. Eur J Pediatr 167:483–485CrossRefPubMedGoogle Scholar
  5. 5.
    Wilent WB, Oh MY, Buetefisch CM, Bailes JE, Cantella D, Angle C, DM W (2010) Induction of panic attack by stimulation of the ventromedial hypothalamus. J Neurosurg 112:1295–1298CrossRefPubMedGoogle Scholar
  6. 6.
    Lee HM, Shin KB, Kim SH, Jee DL (2012) An acute postoperative intractable hyperventilation after an endoscopic third ventriculostomy. J Korean Neurosurg Soc 51:173–176CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • J. Merola
    • 1
    Email author
  • E. Liang
    • 1
  • J. Hoskins
    • 1
  • V. Balakrishnan
    • 1
  • P. Gan
    • 1
  1. 1.Neurosurgery DepartmentWaikato HospitalHamiltonNew Zealand

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