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. 2014 Nov-Dec;58(6):739-41.
doi: 10.4103/0019-5049.147170.

Anaesthetic management of a pregnant patient with intracranial space occupying lesion for craniotomy

Vinay Marulasiddappa  1 , Bs Raghavendra  1 , Hn Nethra  1
Affiliations

Anaesthetic management of a pregnant patient with intracranial space occupying lesion for craniotomy

Vinay Marulasiddappa et al. Indian J Anaesth. 2014 Nov-Dec.

Abstract

Intracranial space occupying lesion [SOL] during pregnancy presents several challenges to the neurosurgeons, obstetricians and anaesthesiologists in not only establishing the diagnosis, but also in the perioperative management as it requires a careful plan to balance both maternal and foetal well-being. It requires modification of neuroanaesthetic and obstetric practices which often have competing clinical goals to achieve the optimal safety of both mother and foetus. Intracranial tuberculoma should be considered in the differential diagnosis of intracranial SOL in pregnant women with signs and symptoms of raised intracranial pressure with or without neurological deficits, especially when they are from high incidence areas. We report a 28-week pregnant patient with intracranial SOL who underwent craniotomy and excision of the lesion, subsequently diagnosed as cranial tuberculoma.

Keywords: Neuro anaesthesia; pregnancy; tuberculoma.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Magnetic resonance imaging brain showing a hyper intense mass in the left fronto-parietal region with peri-lesional oedema
See this image and copyright information in PMC

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