[Obstetric anaesthesia in two patients with cerebral cavernomas: about two cases]

Ann Fr Anesth Reanim. 2012 Jul-Aug;31(7-8):635-7. doi: 10.1016/j.annfar.2012.02.020. Epub 2012 Jun 29.
[Article in French]

Abstract

Prevalence of cerebral cavernous malformations is comprised in between 0.4 to 0.8% of the people. Anesthetic management of pregnant women suffering from this disease is often difficult. We have witnessed two cases of delivery concerning two patients suffering from a cerebral cavernous malformation, one with vaginal delivery under peridural analgesia and the other one with cesarean delivery under rachianesthesia. We recommend the realization of a magnetic resonance imaging the year before delivery. Without medullar cavernous malformations, perimedullar analgesia seems to be the preferred method of choice.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Analgesia, Epidural / methods*
  • Analgesia, Obstetrical / methods*
  • Anesthesia, Obstetrical / methods*
  • Anesthesia, Spinal / methods*
  • Cerebellum / pathology
  • Cerebral Cortex / pathology
  • Cerebral Hemorrhage / prevention & control
  • Cesarean Section
  • Delivery, Obstetric
  • Female
  • Hemangioma, Cavernous, Central Nervous System / complications*
  • Humans
  • Infant, Newborn
  • Intracranial Hypertension / prevention & control
  • Magnetic Resonance Imaging*
  • Obstetric Labor Complications / prevention & control
  • Obstetric Labor, Premature
  • Pregnancy
  • Pregnancy Complications*
  • Pregnancy, High-Risk*
  • Respiratory Distress Syndrome, Newborn / etiology
  • Spinal Cord