Spinal anesthesia performed for cesarean delivery after external ventricular drain placement in a parturient with symptomatology from an intracranial mass

被引:6
作者
Reschke, M. [1 ]
Sweeney, J. M. [2 ]
Wong, N. [2 ]
机构
[1] St Louis Univ Hosp, 3660 Vista Ave, St Louis, MO 63110 USA
[2] Mercy Hosp, St Louis, MO USA
关键词
Spinal anesthesia; Intracranial mass; Meningioma; External ventricular drain; MANAGEMENT; PUNCTURE; BRAIN; PREGNANCY; PATIENT;
D O I
10.1016/j.ijoa.2018.08.010
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe a case in which spinal anesthesia was undertaken in a pregnant patient with a space-occupying tumor and significant symptomatology. The collaborative efforts of all medical disciplines involved and the willingness of the neurosurgeon to discuss and help determine the safety of neuraxial anesthesia, culminated in placing an external ventricular drain to help monitor and manage intracranial pressure, so that we could proceed with spinal anesthesia and more easily monitor neurologic status. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码:122 / 125
页数:4
相关论文
共 15 条
[1]   Dural tissue trauma and cerebrospinal fluid leak after epidural needle puncture - Effect of needle design, angle, and bevel orientation [J].
Angle, PJ ;
Kronberg, JE ;
Thompson, DE ;
Ackerley, C ;
Szalai, JP ;
Duffin, J ;
Faure, P .
ANESTHESIOLOGY, 2003, 99 (06) :1376-1382
[2]   SPINAL-ANESTHESIA FOR CESAREAN-SECTION IN A PATIENT WITH BRAIN NEOPLASMA [J].
ATANASSOFF, PG ;
ALON, E ;
WEISS, BM ;
LAUPER, U .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1994, 41 (02) :163-164
[3]   Huge acoustic neurinomas presenting in the late stage of pregnancy - Treatment options and review of literature [J].
Beni-Adani, L ;
Pomeranz, S ;
Flores, I ;
Shoshan, Y ;
Ginosar, Y ;
Ben-Shachar, I .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2001, 80 (02) :179-184
[4]  
Chestnut DH, 2014, CHESTNUTS OBSTET ANE, pxvii
[5]   FLUID-FLOW THROUGH DURAL PUNCTURE SITES - AN INVITRO COMPARISON OF NEEDLE POINT TYPES [J].
CRUICKSHANK, RH ;
HOPKINSON, JM .
ANAESTHESIA, 1989, 44 (05) :415-418
[6]   THE MANAGEMENT OF LABOR USING CONTINUOUS LUMBAR EPIDURAL ANALGESIA IN A PATIENT WITH A MALIGNANT CEREBRAL-TUMOR [J].
GOROSZENIUK, T ;
HOWARD, RS ;
WRIGHT, JT .
ANAESTHESIA, 1986, 41 (11) :1128-1129
[7]   CHANGES IN INTRACRANIAL-PRESSURE ASSOCIATED WITH EXTRADURAL ANESTHESIA [J].
HILT, H ;
GRAMM, HJ ;
LINK, J .
BRITISH JOURNAL OF ANAESTHESIA, 1986, 58 (06) :676-680
[8]   Advanced lung cancer presenting with a generalized seizure in pregnancy [J].
Innamaa, Anni ;
Deering, Petra ;
Powell, Martin C. .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2006, 85 (09) :1148-1149
[9]   REEVALUATION OF LUMBAR PUNCTURE - A STUDY OF 129 PATIENTS WITH PAPILLEDEMA OR INTRACRANIAL HYPERTENSION [J].
KOREIN, J ;
CRAVIOTO, H ;
LEICACH, M .
NEUROLOGY, 1959, 9 (04) :290-297
[10]   Neuraxial Anesthesia in Parturients with Intracranial Pathology: A Comprehensive Review and Reassessment of Risk [J].
Leffert, Lisa R. ;
Schwamm, Lee H. .
ANESTHESIOLOGY, 2013, 119 (03) :703-718