Open AccessPropofol Total Intravenous Anesthesia as an Intervention for Severe Radiation-Induced Phantosmia in an Adolescent with Ependymoma
Author(s) -
Kalyani Raghavan,
Angela S Camfield,
John T. Lucas,
Yousef Ismael,
Michael Rossi,
Doralina L. Anghelescu
Publication year - 2020
Publication title -
journal of adolescent and young adult oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.743
H-Index - 20
eISSN - 2156-535X
pISSN - 2156-5333
DOI - 10.1089/jayao.2019.0103
Subject(s) - medicine , ependymoma , propofol , vomiting , nausea , anesthesia , radiation therapy , surgery
Radiation-induced phantosmia has been reported both in children and adults. A fraction of these patients have nausea and vomiting triggered by phantosmia. Radiation-induced phantosmia, although transient, can be distressing enough to prevent a patient from staying still during radiation therapy. To date, specific interventions for radiation-induced phantosmia, including anesthesia, have not been reported. We report for the first time anesthesia as an intervention for transient severe radiation-induced phantosmia, in a 16-year-old girl with ependymoma undergoing proton therapy, and we discuss the pros and cons of techniques for anesthesia and airway management.