Anesthetic Management of Intracranial Saccular Aneurysm in Second Trimester in a Pregnant Female

Aneurysm in pregnancy is rare and is at risk of rupture if not diagnosed early. Anesthesia for nonobstetric surgery in parturient patients comes with its own challenges in comprehending the physiological changes of pregnancy as well as the risks of emergency neurosurgery. A focused multidisciplinary team-based approach is sought, keeping in mind the primary concerns of maternal and fetal safety. The challenges for these surgeries are to maintain hemodynamic stability, manage hypertensive crises, and provide induced hypotension for clipping. The choice of anesthetic agents should have minimal effects on the fetus along with the maintenance of uteroplacental perfusion.