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[The anesthetic management for elective or emergent cesarean section in patients with intracranial arteriovenous malformation].
Masui. 2000 Jan; 49(1):33-6.M

Abstract

Subarachnoid hemorrhage secondary to ruptured intracranial arteriovenous malformation (AVM) during pregnancy, although rare, is a grave complication. We experienced 3 patients with AVM for cesarean section. Case 1: A 24-year-old woman suffered sudden vomiting and headache during the 22nd week of her first pregnancy. She was diagnosed as having the intracranial hemorrhage due to AVM. Because the patient was bleeding again at 29th week of pregnancy, emergency operation was performed. Her neurological symptom improved. Cesarean section was performed under general anesthesia at 34th week of pregnancy. Case 2: A 42-year-old woman of her first pregnancy had past history of subarachnoid hemorrhage due to AVM at the ages of 23, 28, 29 and 36. The malformation was not corrected surgically. Her neurological status was normal. Cesarean section was performed under spinal anesthesia. Case 3: A 29-year-old woman suffered sudden hemiplegia, vomiting and headache during the 40th week of her first pregnancy. She was diagnosed as having intracranial hemorrhage. Cesarean section immediately followed by the removal of an intra cranial hematoma under general anesthesia. Better perinatal outcome is expected when AVM rerupture is prevented by first performing cesarean section.

Authors+Show Affiliations

Department of Anesthesiology, Saitama Medical School.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

10689840

Citation

Hatsukari, I, et al. "[The Anesthetic Management for Elective or Emergent Cesarean Section in Patients With Intracranial Arteriovenous Malformation]." Masui. the Japanese Journal of Anesthesiology, vol. 49, no. 1, 2000, pp. 33-6.
Hatsukari I, Nagasaka H, Tsuchiya M, et al. [The anesthetic management for elective or emergent cesarean section in patients with intracranial arteriovenous malformation]. Masui. 2000;49(1):33-6.
Hatsukari, I., Nagasaka, H., Tsuchiya, M., & Taguchi, M. (2000). [The anesthetic management for elective or emergent cesarean section in patients with intracranial arteriovenous malformation]. Masui. the Japanese Journal of Anesthesiology, 49(1), 33-6.
Hatsukari I, et al. [The Anesthetic Management for Elective or Emergent Cesarean Section in Patients With Intracranial Arteriovenous Malformation]. Masui. 2000;49(1):33-6. PubMed PMID: 10689840.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The anesthetic management for elective or emergent cesarean section in patients with intracranial arteriovenous malformation]. AU - Hatsukari,I, AU - Nagasaka,H, AU - Tsuchiya,M, AU - Taguchi,M, PY - 2000/2/26/pubmed PY - 2000/4/29/medline PY - 2000/2/26/entrez SP - 33 EP - 6 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 49 IS - 1 N2 - Subarachnoid hemorrhage secondary to ruptured intracranial arteriovenous malformation (AVM) during pregnancy, although rare, is a grave complication. We experienced 3 patients with AVM for cesarean section. Case 1: A 24-year-old woman suffered sudden vomiting and headache during the 22nd week of her first pregnancy. She was diagnosed as having the intracranial hemorrhage due to AVM. Because the patient was bleeding again at 29th week of pregnancy, emergency operation was performed. Her neurological symptom improved. Cesarean section was performed under general anesthesia at 34th week of pregnancy. Case 2: A 42-year-old woman of her first pregnancy had past history of subarachnoid hemorrhage due to AVM at the ages of 23, 28, 29 and 36. The malformation was not corrected surgically. Her neurological status was normal. Cesarean section was performed under spinal anesthesia. Case 3: A 29-year-old woman suffered sudden hemiplegia, vomiting and headache during the 40th week of her first pregnancy. She was diagnosed as having intracranial hemorrhage. Cesarean section immediately followed by the removal of an intra cranial hematoma under general anesthesia. Better perinatal outcome is expected when AVM rerupture is prevented by first performing cesarean section. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/10689840/[The_anesthetic_management_for_elective_or_emergent_cesarean_section_in_patients_with_intracranial_arteriovenous_malformation]_ L2 - http://www.diseaseinfosearch.org/result/3852 DB - PRIME DP - Unbound Medicine ER -