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VOLUME 9 , ISSUE 1--3 ( January-December, 2024 ) > List of Articles

CASE REPORT

Anesthetic Considerations and Management of Corpus Callosal Glioma with Bifid Uvula: A Rare Case Report

Medha Bhardwaj, Sunita Sharma, Vijay Mathur, Nisha Sharma

Keywords : Bifid uvula, Case report, Corpus callosal glioma, Laryngoscopy, Seizures, Submucous cleft palate

Citation Information : Bhardwaj M, Sharma S, Mathur V, Sharma N. Anesthetic Considerations and Management of Corpus Callosal Glioma with Bifid Uvula: A Rare Case Report. J Mahatma Gandhi Univ Med Sci Tech 2024; 9 (1--3):1-2.

DOI: 10.5005/jp-journals-10057-0233

License: CC BY-NC 4.0

Published Online: 23-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: Bifid uvula is an anomaly usually seen in infancy and found rarely in adults. It is an abnormal division in the uvula, which is the tissue hanging down at the end of the soft palate in the roof of the mouth. It contains less muscular tissues than the normal uvula. The presence of a bifid uvula can also indicate a submucous cleft palate. Certain problems are associated with submucous cleft palate, such as swallowing difficulties, speech, and ear problems. The majority of the cases with bifid uvula have a genetic association. Aim: This case report will provide insight into this rare condition, and we aim to share our experience about this case so that anesthesiologists can foresee the complications in future. Case description: A 29-year-old female presented with seizures, headache, and projectile vomiting. She was diagnosed with a case of corpus callosal glioma and was posted for an excision of the same. During a preanesthetic checkup, she was found to have a bifid uvula. Her surgery was conducted under general anesthesia uneventfully. Conclusion: Bifid uvula can be a warning sign for an underlying syndrome and a detailed preanesthetic evaluation should be conducted along with vigilance throughout the course in hospital. Clinical significance: Bifid uvula with corpus callosum glioma is a rare entity in adults. Such cases need a thorough history and physical examination as well as a detailed family history. Any associated and underlying syndromes should be ruled out and evaluated. One should remain vigilant for any complications in the perioperative period. Always perform a gentle laryngoscopy to avoid injury to the hard and soft palate. Therefore, a case of bifid uvula should not be taken lightly, and an anesthesiologist should be vigilant and well-prepared to anticipate any underlying associated anomaly and related complications.


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