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Obstetric Anesthesia for a Pregnant Woman With Brainstem Cavernous Malformations: A Case Report
Misuzu Hayashi1, Manabu Kakinohana
1From the Department of Anesthesiology, Ryukyu University Hospital, University of the Ryukyus, Nishihara, Okinawa, Japan.
Abstract:
There are no well-defined guidelines for obstetric and anesthetic management of pregnant patients with cerebral cavernous malformations (CMs). We need to pay careful attention to the attendant risks of both general and neuraxial anesthesia in this population. Here, we describe the anesthetic management of a pregnant woman with brainstem CMs who underwent cesarean delivery. We selected a general anesthetic technique because of concerns of undesirable effects of neuraxial anesthesia in the presence of cerebral CMs.
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