Anesthetic Management for Clipping of a Ruptured Cerebral Aneurysm before Vaginal Delivery in a Term Parturient: A case report.
10.4097/kjae.2001.41.3.398
- Author:
Hae Jin LEE
1
;
Yong Woo CHOI
Author Information
1. Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
neurosurgical;
delivery;
labor;
parturient;
term;
cerebral aneurysm;
clipping
- MeSH:
Analgesia, Epidural;
Anesthesia, General;
Aneurysm;
Female;
Fetal Monitoring;
Heart Rate, Fetal;
Humans;
Infant;
Intracranial Aneurysm*;
Mothers;
Perfusion;
Pregnancy;
Subarachnoid Hemorrhage
- From:Korean Journal of Anesthesiology
2001;41(3):398-403
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A ruptured cerebral aneurysm in a term parturient requires a consideration of several factors important to the survival of both the mother and infant. A 39-week pregnant patient with a subarachnoid hemorrhage, secondary to a ruptured anterior communicating artery aneurysm, presented emergently for clipping of a cerebral aneurysm under general anesthesia. Anesthetic goals for this patient included maintenance of maternal well-being, uteroplacental perfusion, and fetal well-being. Fetal monitoring consisted of fetal heart rate by external Doppler and uterine activity by external tocodynamometer. The aneurysm was well clipped, and the patient was in a good neurological grade after surgery. A healthy baby was delivered 7 days postoperatively via the vaginal route under epidural analgesia. The anesthetic management of the case is described and discussed.
