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Updated: May 20, 2026
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Obstetric anaesthesia in two patients with cerebral cavernomas: about two cases]
A De Jong1, L Benayoun, Y Bekrar
1Service d'anesthésie et de réanimation, centre hospitalier général, Perpignan, France.
Annales Francaises D'Anesthesie Et De Reanimation
|July 4, 2012
Summary
Cerebral cavernous malformations affect 0.4-0.8% of people. For pregnant patients, perimedullar analgesia is recommended, especially if magnetic resonance imaging shows no medullar involvement.
Area of Science:
- Neurology
- Obstetrics
- Anesthesiology
Background:
- Cerebral cavernous malformations (CCMs) affect 0.4–0.8% of the population.
- Anesthetic management during pregnancy poses unique challenges for patients with CCMs.
Observation:
- Two cases of delivery in pregnant patients with CCMs were analyzed.
- One patient underwent vaginal delivery with epidural analgesia.
- The other patient had a cesarean delivery under spinal anesthesia.
Findings:
- Perimedullar analgesia is suggested as the preferred anesthetic method.
- This recommendation is contingent on the absence of medullar cavernous malformations.
Implications:
- Pre-delivery magnetic resonance imaging (MRI) is recommended one year prior to delivery.
- Optimizing anesthetic strategies for pregnant women with CCMs is crucial for patient safety.
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