Anaesthetic Management of Occipitocervical Stabilization and C1–C3 Decompression in a Patient with Intradural Cervical Tumor and Prior Stroke: A Case Report

Authors: Amrapali Naik, Naba Mateen Madoo

DOI: 10.18231/j.ijca.11875.1760331956

Keywords: Intradural cervical spinal tumor. Occipitocervical stabilization,C1–C3 decompression,Difficult airway management,Anaesthesia for neuromonitoring.Total intravenous anaesthesia (TIVA)

Abstract: Upper cervical spinal surgeries pose significant anaesthetic challenges due to proximity to the brainstem, potential for spinal cord compromise, and the need for advanced airway management. These challenges are further compounded in patients with underlying neurological or pulmonary comorbidities. We report the anaesthetic management of a 64-year-old male with a history of cerebrovascular accident (CVA), chronic smoking, and newly diagnosed hypertension, who presented with a C1–C3 intradural spinal tumor and underwent occipitocervical stabilization and decompression. The case highlights important considerations in airway evaluation, respiratory optimization, hemodynamic stability, intraoperative neuromonitoring, and perioperative temperature and fluid management.