Sitting position for pineal surgery: Some anaesthetic considerations.

INTRODUCTION

The sitting position for pineal tumour removal remains controversial as regards the number of potential complications despite good surgical conditions.

METHOD: A systematic review of the literature was conducted in order to record the most frequent complications observed in this position, their incidence and prevention.

RESULTS

Venous air embolism, hypotension, pneumocephalus, macroglossia, quadriplegia and nerve injuries are the most frequent complications observed. Their incidence can be dramatically decreased with an accurate anesthesiological and neurosurgical management.

CONCLUSION

In training teams, the sitting position remains the gold standard for pineal tumour removal.