De Jong A, Benayoun L, Bekrar Y, Forget S, Wernet A. [Obstetric anaesthesia in two patients with cerebral cavernomas: about two cases].
ACTA ACUST UNITED AC 2012;
31:635-7. [PMID:
22749550 DOI:
10.1016/j.annfar.2012.02.020]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2011] [Accepted: 02/29/2012] [Indexed: 01/22/2023]
Abstract
Prevalence of cerebral cavernous malformations is comprised in between 0.4 to 0.8% of the people. Anesthetic management of pregnant women suffering from this disease is often difficult. We have witnessed two cases of delivery concerning two patients suffering from a cerebral cavernous malformation, one with vaginal delivery under peridural analgesia and the other one with cesarean delivery under rachianesthesia. We recommend the realization of a magnetic resonance imaging the year before delivery. Without medullar cavernous malformations, perimedullar analgesia seems to be the preferred method of choice.
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