title: Inadvertent insertion of nasogastric tube into the brain stem and spinal cord after endoscopic skull base surgery.
abstract: A significant number of neurosurgical patients require feeding tube placement via a nasogastric route. It is used as a temporary access for enteral feeding until patients are able to swallow or receive permanent access. Despite how commonly feeding tubes are used, they are not without potential complications. We report a case of inadvertent placement of small-bore feeding tube into the brain stem and spinal cord in a patient with a history of previous endoscopic transnasal resection of clival chordoma. We discuss the management of this complication and the strategies that have been developed to avoid this complication in the future.
authors.affiliation: Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
authors.forename: Amgad S
authors.initials: AS
authors.lastname: Hanna
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Grindle
authors.forename: Alpesh A
authors.initials: AA
authors.lastname: Patel
authors.forename: Marc R
authors.initials: MR
authors.lastname: Rosen
authors.forename: James J
authors.initials: JJ
authors.lastname: Evans
mesh_terms: D001933:Brain Stem / Q000293:injuries*; D002817:Chordoma / Q000473:pathology / Q000601:surgery; D004724:Endoscopy / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D019292:Skull Base Neoplasms / Q000473:pathology / Q000601:surgery; D013119:Spinal Cord Injuries / Q000209:etiology*