Yee Lynn M, Kacmar Rachel M, Bolden Janelle R
J Reprod Med. 2015 Jan-Feb;60(1-2):55-7.
Nasal encephaloceles are uncommon in North America and may be diagnosed only as incidental findings. The presence of an encephalocele and malignant hypertension in the parturient requires complex coordination of care.
We present a case of severe chronic hypertension in a pregnant patient with a seizure disorder and new finding of a basal transethmoidal encephalocele. She required 5 antihypertensive agents and cesarean delivery at 34 weeks' gestation under general anesthesia. The obstetric and anesthetic management of encephalocele are reviewed.
Nasal encephaloceles are rarely reported in pregnancy and present additional peripartum obstetric and anesthetic considerations that require multidisciplinary planning for optimization of maternal and fetal outcomes.
鼻内脑膨出在北美并不常见，可能仅作为偶然发现被诊断出来。产妇患有脑膨出和恶性高血压需要复杂的护理协调。
我们报告一例患有癫痫症的孕妇出现严重慢性高血压，并新发现基底经筛骨脑膨出的病例。她需要5种降压药物，并在妊娠34周时在全身麻醉下进行剖宫产。本文回顾了脑膨出的产科和麻醉管理。
妊娠期鼻内脑膨出的报道很少，并且带来了额外的围产期产科和麻醉方面的考虑因素，这需要多学科规划以优化母婴结局。
