Anaesthetic management of intracranial hypertension and pregnancy. A case report.
Manejo anestésico de hipertensión intracraneal y embarazo. Informe de un caso.
Adjuvants, Anesthesia
/ administration & dosage
Adult
Anesthesia
/ methods
Anesthetics, Inhalation
/ administration & dosage
Cesarean Section
Female
Fentanyl
/ administration & dosage
Glasgow Coma Scale
Humans
Hydrocephalus
/ surgery
Intracranial Hypertension
/ therapy
Neuromuscular Nondepolarizing Agents
/ administration & dosage
Pregnancy
Pregnancy Complications, Cardiovascular
/ therapy
Propofol
/ administration & dosage
Rocuronium
/ administration & dosage
Sevoflurane
/ administration & dosage
Ventriculoperitoneal Shunt
/ adverse effects
Brain
Cerebro
Derivación ventriculoperitoneal
Embarazo
Hidrocefalia
Hipertensión intracraneal
Hydrocephalus
Intracranial hypertension
Neurocirugía
Neurosurgery
Pregnancy
Prostheses and implants
Prótesis e implantes
Ventriculoperitoneal shunt
Journal
Revista espanola de anestesiologia y reanimacion
ISSN: 2341-1929
Titre abrégé: Rev Esp Anestesiol Reanim (Engl Ed)
Pays: Spain
ID NLM: 101778594
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
15
10
2019
revised:
15
11
2019
accepted:
19
11
2019
pubmed:
21
3
2020
medline:
11
5
2021
entrez:
21
3
2020
Statut:
ppublish
Résumé
Hydrocephalus is an active distension of the ventricular system of the brain. The improved survival rates of patients with neurosurgical pathology is accompanied by a greater number of non-neurosurgical procedures in patients who have therapeutic neurosurgical devices. The real incidence of pregnancy in patients with obstructive hydrocephalus controlled with ventriculoperitoneal shunt (VPS) is unclear. We present a case of a pregnant 34-year-old female with a VPS for obstructive hydrocephalus. Due to VPS obstruction secondary to uterus volume, she presented several episodes of neurological impairment during pregnancy. An elective caesarean section (C-section) and VPS review were planned for the same operative time. This rare case reflects the challenge that the anaesthesiologist has to face in order to provide the best and simultaneous management of the wellbeing of the mother, the mother's brain and the foetus.
Identifiants
pubmed: 32192721
pii: S0034-9356(20)30019-0
doi: 10.1016/j.redar.2019.11.013
pii:
doi:
Substances chimiques
Adjuvants, Anesthesia
0
Anesthetics, Inhalation
0
Neuromuscular Nondepolarizing Agents
0
Sevoflurane
38LVP0K73A
Fentanyl
UF599785JZ
Rocuronium
WRE554RFEZ
Propofol
YI7VU623SF
Types de publication
Case Reports
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
204-207Informations de copyright
Copyright © 2020 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.