Craniotomy at 22 Weeks
While neuroanesthesia may not be commonplace in the parturient population, it is an area that requires special attention and consideration. In this case we present a 40 year old female who developed seizures and was subsequently hospitalized for status epilepticus. Imaging revealed right parietal cystic mass with vasogenic edema. She then presented at 22 weeks gestation for craniotomy and resection of right parietal tumor. Pregnancy was determined pre-viable by OB so while we did not employ intraoperative fetal monitoring, FHR was assessed pre-op and in the PACU. In this case we will discuss the anesthetic management of pregnant patients undergoing neurosurgery.
Fowler J, Patel P, Serrano RB. Craniotomy at 22 Weeks. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.