Hayashi Misuzu, Kakinohana Manabu
From the Department of Anesthesiology, Ryukyu University Hospital, University of the Ryukyus, Nishihara, Okinawa, Japan.
A A Case Rep. 2017 Jul 15;9(2):54-56. doi: 10.1213/XAA.0000000000000525.
There are no well-defined guidelines for obstetric and anesthetic management of pregnant patients with cerebral cavernous malformations (CMs). We need to pay careful attention to the attendant risks of both general and neuraxial anesthesia in this population. Here, we describe the anesthetic management of a pregnant woman with brainstem CMs who underwent cesarean delivery. We selected a general anesthetic technique because of concerns of undesirable effects of neuraxial anesthesia in the presence of cerebral CMs.
对于患有脑海绵状血管畸形（CMs）的孕妇，目前尚无明确的产科和麻醉管理指南。我们需要密切关注这一人群全身麻醉和椎管内麻醉带来的相关风险。在此，我们描述了一名患有脑干CMs的孕妇剖宫产时的麻醉管理情况。由于担心在存在脑海绵状血管畸形的情况下椎管内麻醉产生不良影响，我们选择了全身麻醉技术。
