Terao M, Kubota M, Tamakawa S, Kawada K, Ogawa H
Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College.
Masui. 1995 Dec;44(12):1700-2.
We presented a case of intracranial vascular malformations associated with pregnancy. A 32 year-old woman who was at 36 weeks of gestation had been experiencing loss of consciousness and convulsions for 3 years. MRI revealed an intracerebral AVM measuring 3.5 x 3.0cm in the left temporal lobe. Cesarean section was carried out under general anesthesia and epidural anesthesia to prevent the rise of blood pressure and intracranial pressure owing to stress of delivery and labor pain. Intermittent injection of nicardipine was quite effective to control the hypertension during anesthesia.
我们报告了一例与妊娠相关的颅内血管畸形病例。一名32岁、孕36周的女性3年来一直有昏迷和抽搐症状。磁共振成像（MRI）显示左侧颞叶有一个3.5×3.0厘米的脑动静脉畸形（AVM）。为防止分娩应激和产痛导致血压和颅内压升高，在全身麻醉和硬膜外麻醉下行剖宫产。麻醉期间，间断注射尼卡地平对控制高血压非常有效。
