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Journal of Obstrectic Anaesthesia and Critical Care
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CASE REPORT
Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 102-104

Neurovascular lesions in parturients: Anesthetic management for cesarean section


1 Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore
2 Department of Anaesthesiology, Singapore General Hospital, Singapore
3 Department of Neurosurgery, National Neuroscience Institute and Duke-NUS Medical School, Singapore

Correspondence Address:
Dr. Fung Chen Tsai
Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, 2 Simei Street 3, Singapora 529889
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacc.JOACC_18_18

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Cerebral arteriovenous malformation (AVM) or aneurysm in pregnancy is a complex situation and there is no definite recommendation regarding mode of anesthesia for patient with this type of intracranial pathology. We present a case series on the anesthetic management in two pregnant patients with either cerebral AVM or aneurysm presenting for elective cesarean section. Our case series highlights the following: (1) team working and collaboration with neurosurgeon and obstetrician to improve patient outcome; (2) crucial role of anesthetic management in reducing perioperative complications; (3) anesthetic management goals so as to minimize the risk of hemorrhage from an AVM or aneurysm.


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