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CC-BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2016; 03(02): 129-132
DOI: 10.4103/2348-0548.182346
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Cesarean section under combined spinal epidural in parturient with frontal glioma

Caitlin VanDeCappelle
1   Department of Anesthesia, McMaster University, Hamilton, ON, Canada
,
HK Ma
1   Department of Anesthesia, McMaster University, Hamilton, ON, Canada
,
E Ho
1   Department of Anesthesia, McMaster University, Hamilton, ON, Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
03 May 2018 (online)

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Abstract

Our patient presented to hospital in acute asthma exacerbation and foetal distress. Past history was remarkable for pregnancy at 35 weeks, morbid obesity, uncontrolled asthma, seizure disorder and known frontal glioma. Here we highlight the neuraxial management of this patient for cesarean section and discuss the central dogma of neuraxial technique in the face of known intracranial neoplasm.

Keywords

Frontal glioma - intracranial pathology and neuraxial techniques - obstetric anaesthesia
 

  • REFERENCES

  • 1 CBTRUS Fact Sheet. Central Brain Tumour Registry of the United States (CBTRUS). Available from: http://www.cbtrus.org/factsheet/factsheet.html [Last accessed on 2015 Aug 14].
    PubMed
  • 2 Goodenberger ML, Jenkins RB. Genetics of adult glioma. Cancer Genet 2012; 205: 613-21
    CrossrefPubMedSearch in Google Scholar
  • 3 Atanassoff PG, Alon E, Weiss BM, Lauper U. Spinal anaesthesia for caesarean section in a patient with brain neoplasma. Can J Anaesth 1994; 41: 163-4
    PubMedSearch in Google Scholar
  • 4 Chhabra A, Kumar N, Kumar A, Singh N, Sharma BS. Combined spinal epidural anesthesia for cesarean section in a pregnant patient with rare intracranial neoplasm. Middle East J Anaesthesiol 2010; 20: 581-4
    PubMedSearch in Google Scholar
  • 5 Norris MC, Grieco WM, Borkowski M, Leighton BL, Arkoosh VA, Huffnagle HJ. et al. Complications of labor analgesia: Epidural versus combined spinal epidural techniques. Anesth Analg 1994; 79: 529-37
    PubMedSearch in Google Scholar
  • 6 Shigeki S, Ryoichi O, Shin'ichi N, Chiemi N, Tatsuya Y, Junzo T. Anesthetic management for elective cesarean section in patient with a coexisting brain tumor. J Clin Anesth 2003; 27: 1645-6
    PubMedSearch in Google Scholar
  • 7 Hirs I, Grbcic P. Cesarean section in spinal anesthesia on a patient with mesencephalic tumor and ventriculoperitoneal drainage – A case report. Korean J Anesthesiol 2012; 63: 263-5
    CrossrefPubMedSearch in Google Scholar
  • 8 Shah PN, Sonawane D, Appukutty J. Anaesthetic management for caesarean section in a case of previously operated with residual pituitary tumour. Indian J Anaesth 2011; 55: 618-20
    CrossrefPubMedSearch in Google Scholar
  • 9 Chang L, Looi-Lyons L, Bartosik L, Tindal S. Anesthesia for cesarean section in two patients with brain tumours. Can J Anaesth 1999; 46: 61-5
    CrossrefPubMedSearch in Google Scholar
  • 10 Leffert LR, Schwamm LH. Neuraxial anesthesia in parturients with intracranial pathology: A comprehensive review and reassessment of risk. Anesthesiology 2013; 119: 703-18
    CrossrefPubMedSearch in Google Scholar
  • 11 Semple DA, McClure JH. Arnold-chiari malformation in pregnancy. Anaesthesia 1996; 51: 580-2
    CrossrefPubMedSearch in Google Scholar
  • 12 Finfer SR. Management of labour and delivery in patients with intracranial neoplasms. Br J Anaesth 1991; 67: 784-7
    CrossrefPubMedSearch in Google Scholar