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[Cerebrovascular abnormalities in pregnancy]

B Schockenhoff¹, C Karl

¹Abteilung für Anästhesiologie und operative Intensivmedizin des Allgemeinen Krankenhauses Hamburg-Barmbek.

Zentralblatt Fur Gynakologie

|January 1, 1995

Summary

A pregnant woman experienced seizures due to a cerebral angioma. Management involved a caesarean section and later surgical resection of the brain vascular malformation.

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Area of Science:

Neurology
Neurosurgery
Obstetrics

Background:

Cerebral angiomas are rare vascular malformations that can present with seizures, particularly during pregnancy.
Managing neurological conditions in pregnant patients requires careful consideration of maternal and fetal well-being.

Observation:

A 37-year-old pregnant woman presented with recurrent seizures at 21 weeks gestation, diagnosed with a cerebral angioma.
The patient opted to continue her pregnancy, necessitating a caesarean section under regional anesthesia.

Findings:

The caesarean section was performed uneventfully.
Five weeks postpartum, the patient underwent successful resection of the cerebral angioma following seizure recurrence and neurological decline.

Implications:

This case highlights the complex management of cerebral angiomas during pregnancy.
It underscores the importance of multidisciplinary approaches, including neurosurgical and anesthesiological expertise, for optimizing outcomes in pregnant patients with brain vascular malformations.

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