Anaesthetic management for craniotomy in a pregnant patient with rupture of a cerebral arterio-venous malformation: Case report

  • Rosana Guerrero-Domínguez Department of Neuronaesthesia, Anaesthesia, Critical Care and Pain Medicine, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Rafael Rubio-Romero Department of Neuronaesthesia, Anaesthesia, Critical Care and Pain Medicine, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Daniel López-Herrera-Rodríguez Anaesthesia, Critical Care and Pain Medicine, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Francisco Federero Department of Neuronaesthesia, Anaesthesia, Critical Care and Pain Medicine, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Ignacio Jiménez Department of Neuronaesthesia, Anaesthesia, Critical Care and Pain Medicine, Hospital Universitario Virgen del Rocío, Sevilla, Spain
Keywords: Cerebral, hemorrhage, Pregnancy, Craniotomy, Neurosurgical, procedures, Anesthesia

Abstract

Intracranial haemorrhage (ICH) is the third leading non-obstetric indirect cause of maternal death. We describe the anaesthetic management of a 32-year-old woman at 22 weeks gestation with intracranial haemorrhage due to a ruptured arteriovenous malformation (AVM). Managing these patients requires a complex approach with a highly individualised plan involving neurosurgeons, neuroradiologists, anaesthetists, obstetricians and neonatologists to assess the risk and benefit of all the different therapeutic alternatives. Given the high risk of further bleeding during pregnancy and the location of the AVM, the best therapeutic option in this case was considered to be a craniotomy and complete removal of the lesion. 

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How to Cite
1.
Guerrero-Domínguez R, Rubio-Romero R, López-Herrera-Rodríguez D, Federero F, Jiménez I. Anaesthetic management for craniotomy in a pregnant patient with rupture of a cerebral arterio-venous malformation: Case report. Colomb. J. Anesthesiol. [Internet]. 2015Jul.1 [cited 2022Jul.6];43(Supplement):57-0. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/737

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Published
2015-07-01
How to Cite
1.
Guerrero-Domínguez R, Rubio-Romero R, López-Herrera-Rodríguez D, Federero F, Jiménez I. Anaesthetic management for craniotomy in a pregnant patient with rupture of a cerebral arterio-venous malformation: Case report. Colomb. J. Anesthesiol. [Internet]. 2015Jul.1 [cited 2022Jul.6];43(Supplement):57-0. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/737
Section
Case Report / Case Series

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