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Anesthetic Management of a Parturient with an Unruptured Basilar Artery Aneurysm

Lt Mia Galassi1, Lt David Sternbaum2

  • 1was a student in the Nurse Anesthesia Program at the Daniel K. Inouye Graduate School of Nursing, Uniformed Services University of the Health Sciences at Naval Medical Center San Diego, California at the time this case study was written.

AANA Journal
|August 9, 2022
PubMed

Parturients with unruptured intracranial aneurysms present a unique challenge to anesthesia practitioners due to confounding concerns related to cerebrovascular and obstetrical physiologic changes. This case report presents a term parturient with an unruptured basilar artery aneurysm that received spinal anesthesia without adverse maternal or fetal sequelae. This report describes risk factors for aneurysmal rupture and a comparison of neuraxial versus general anesthesia in a parturient with cerebrovascular pathology.

Keywords:
Anesthesiologyactive laboranesthetic managementcesarean sectionunruptured intracranial aneurysm

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