A case series discussing the anaesthetic management of pregnant patients with brain tumours

F1000Research
Alaa A Abd-ElsayedEhab Farag

Abstract

Pregnancy may aggravate the natural history of an intracranial tumour, and may even unmask a previously unknown diagnosis. Here we present a series of seven patients who had brain tumours during pregnancy. The aim of this case series is to characterize the current perioperative management and to suggest evidence based guidelines for the anaesthetic management of pregnant females with brain tumours. This is a retrospective study. Information on pregnant patients diagnosed with brain tumours that underwent caesarean section (CS) and/or brain tumour resection from May 2003 through June 2008 was obtained from the Department of General Anaesthesia and the Rose Ella Burkhardt Brain Tumour & Neuro-Oncology Centre (BBTC) at the Cleveland Clinic, OH, USA. The mean age was 34.5 years (range 29-40 years old). Six patients had glioma, two of whom had concomitant craniotomy and CS. Six cases had the tumour in the frontal lobe. Four cases were operated on under general anaesthesia and three underwent awake craniotomy. The neonatal outcomes of the six patients with elective or emergent delivery were six viable infants with normal Apgar scores. Pregnancy was terminated in the 7th patient. In conclusion, good knowledge of the variable anestheti...Continue Reading

References

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Citations

Oct 27, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Lingzhong MengEdward F Chang
Sep 21, 2018·Neurology India·Rudrarpan ChatterjeeBasavaraj Sajjan
Mar 17, 2017·Journal of Neurosurgery·Sophie PeetersJohan Pallud
Aug 31, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Madhavi ManoharanShabnum Sibtain
Feb 20, 2018·JA Clinical Reports·Kotoe KamataMakoto Ozaki
Sep 19, 2019·Surgical Neurology International·Domenico PolicicchioRiccardo Boccaletti
Jan 17, 2021·American Journal of Obstetrics & Gynecology MFM·Adrian J RodriguesMelanie Hayden-Gephart

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Software Mentioned

Anaesthesia Record Keeping System ( ARKS )

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