Anaesthetic management for combined emergency caesarean section and craniotomy tumour removal
| Autor: | Dewi Y. Bisri, Caroline Wullur, Tatang Bisri |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Journal of Neuroanaesthesiology and Critical Care, Vol 04, Iss 01, Pp 053-056 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2348-0548 2348-926X |
| DOI: | 10.4103/2348-0548.197449 |
| Popis: | Presentation of primary intracranial tumour during pregnancy is extremely rare. Symptoms of brain tumour include nausea, vomiting, headache and seizures which mimic symptoms of pregnancy-related hyperemesis or eclampsia. In very few cases, craniotomy tumour removal is performed earlier or even simultaneously with foetal delivery. A 40-year-old woman at 32 weeks of gestation in foetal distress presented to the emergency room with decreased level of consciousness Glasgow Coma Scale 6 (E2M2V2). Computed tomographic scan revealed a mass lesion over the left temporoparietal region with midline shift and intratumoural bleeding. In view of high risk of herniation and foetal distress, she underwent emergency caesarean section followed by craniotomy tumour removal. In parturient with brain tumour, combined surgery of tumour removal and caesarean section is decided based on clinical symptoms, type of tumour and foetal viability. Successful anaesthetic management requires a comprehensive knowledge of physiology and pharmacology, individually tailored to control intracranial pressure while ensuring the safety of mother and foetus. |
| Databáze: | Directory of Open Access Journals |
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