Northern Journal of ISA

Open Access Open Access  Restricted Access Subscription Access

Anaesthetic Management of a Parturient with Clinoid Meningioma for Caesarean Section


Affiliations
1 Department of Anaesthesiology, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India

Certain tumours such as meningiomas manifest during pregnancy due to rapid growth following increased blood volume which results in increasing size of vascular tumours. A 25 years old primi-gravida (weight 60 kg) presented at 34 weeks gestation with the complaints of headache, generalized grand mal seizure, diminished vision and loss of speech for 1 week and was diagnosed with intracranial meningioma. Caesarean section was performed followed by neurosurgery for removal of tumour. Anaesthetic management of these cases could be challenging due to lack of adequate guidelines.

Keywords

Caesarean Section, Meningioma.
User
Notifications
Font Size

  • Laviv Y, Bayoumi A, Mahadevan A. Meningiomas in pregnancy: timing of surgery and clinical outcomes as observed in 104 cases and establishment of a best management strategy. Acta Neurochir. 2018; 160(8):1521-9. https://doi.org/10.1007/s00701-017-3146-8 PMid:28326464

  • Sahu S, Lata I, Gupta D. Management of pregnant female with meningioma for craniotomy. J Neurosci Rural Pract. 2010; 1:35-7 https://doi.org/10.4103/0976-3147.63101 PMid:21799618 PMCid:PMC3137832

  • Chang L, Looi-Lynos L, Bartosik L. Anaesthesia for ceserean section in two patients with brain tumours. Can J Anaesth. 1999: 46:61-5. https:// doi.org/10.1007/BF03012517 PMid:10078406

  • Wang LP, Paech MJ. Neuroanaesthesia for the pregnant women. Anesth Analg. 2008; 107:193-200. https://doi.org/10.1213/ane.0b013e31816c8888 PMid:18635488

  • Giannini A, Bricchi M. Posterior fossa surgery in the sitting position in a pregnant woman with cerepellopontine meningioma. BJA. 1999; 82:941-4. https://doi.org/10.1093/bja/82.6.941 PMid:10562796

  • Sneyd JR. Recent advances in intravenous anaesthesia. BJA. 2004; 93:725-36. https://doi.org/10.1093/bja/aeh253 PMid:15347606

  • Magorian T, Flannery KB, Miller RD. Comparison of rocuronium, succinylcholine, and vecuronium for rapid-sequence induction of anaesthesia in adult patients. Anesthesiology. 1993; 79:913-8. https:// doi.org/10.1097/00000542-199311000-00007 PMid:7902034

  • Abouleish E, Abboud T, Lechevalier T. Rocuronium (Org 9426) for caesarean section. Br J Anaesth. 1994; 73:336-41. https://doi.org/10.1093/bja/73.3.336 PMid:7946860

  • Michelson LG, Hugh CC Jr. The pharmacokinetics of remifentanil. J ClinAnesth. 1996; 8:679-682. https://doi.org/10.1016/S09528180(96)00179-1.

  • Johnson MD, Zavisca FG. Intracranial lesions. In: Gambling DR, Douglas MJ. Obstetric Anaesthesia and Uncommon Disorders. Philadelphia: W B Saunders company; 1998. pp. 230-231.

  • Elwatidy S, Jamjoom Z, Elgamal E, Abdelwahab A. Management strategies for acute brain lesions presenting during pregnancy: a case series. British Journal of Neurosurgery. 2011; 25(4):478-87. https://doi.org/10.3109/02688697.2010.550345 PMid:21344977

  • Kurdoglu Z, Cetin O, Gulsen I, Dirik D, Bulut MD. Intracranial meningioma diagnosed during pregnancy caused maternal death. Case Reports in Medicine; 2014. Article ID 158326, https://doi.org/10.1155/2014/158326 PMid:25295061 PMCid:PMC4176917


Abstract Views: 475

PDF Views: 193




  • Anaesthetic Management of a Parturient with Clinoid Meningioma for Caesarean Section

Abstract Views: 475  |  PDF Views: 193

Authors

Kirti N. Saxena
Department of Anaesthesiology, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India
Ayushi Mahajan
Department of Anaesthesiology, Maulana Azad Medical College and Associated Hospitals, New Delhi – 110002, Delhi, India

Abstract


Certain tumours such as meningiomas manifest during pregnancy due to rapid growth following increased blood volume which results in increasing size of vascular tumours. A 25 years old primi-gravida (weight 60 kg) presented at 34 weeks gestation with the complaints of headache, generalized grand mal seizure, diminished vision and loss of speech for 1 week and was diagnosed with intracranial meningioma. Caesarean section was performed followed by neurosurgery for removal of tumour. Anaesthetic management of these cases could be challenging due to lack of adequate guidelines.

Keywords


Caesarean Section, Meningioma.

References