Cesarean section in a patient with brain tumor: a clinical report

Barbiturate anesthesia for cesarean section was well described by Kosaka almost 20 years ago. However, light balanced anesthesia has become the unofficial standard general anesthesia for cesarean section in this country. This light anesthetic technique could be catastrophic in the patient with raised intracranial pressure. The dilemma posed by cesarean section of a young woman with posterior fossa brain tumor led us to revive use of Kosaka's higher doses of thiobarbiturate. Together with regional and topical anesthesia of the larynx and trachea, this method resulted in stable maternal hemodynamics without resulting in neonatal depression.