Background: Hydranencephaly is a rare and debilitating congenital condition in which most anesthesiologists are\nunfamiliar. Primary surgical treatment involves CSF diversion, though other palliative procedures requiring\nanesthesia are often required. With medical advancements and a resulting prolonged life expectancy, caring for\nthese patients is becoming more routine.\nCase presentation: We follow an infant with hydranencephaly over three different procedures requiring anesthesia\nfrom 5 months of age to 2 years, highlighting the various anesthetic considerations.\nConclusions: Anticipation of difficult positioning, deliberate airway management, and attention to anesthetic\nrecovery were all necessary to safely care for this patient. An understanding of the challenges this particular\ncondition poses will help anesthesiologists provide the most safe and effective care when encountering these\npatients.
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