Abstract
Cerebral sinus venous thrombosis is a rare phenomenon seen in pregnant woman and one of the major causes of stroke with high mortality. Cerebral venous thrombosis with intracranial hemorrhage has a poor outcome than with CSVT alone. Here, we report a case of a 27 year old female primi-gravida with 32 weeks of gestational age diagnosed as CSVT with hemorrhage, underwent LSCS followed by craniotomy in the same setting, managed successfully.
Keywords: CSVT, CVT, Pregnancy, LSCS, Craniectomy.
References
- Grear K.E, Bushnell, C.D . Stroke and pregnancy: Clinical presentation, evaluation, treatment and epidemiology. Clin Obstet Gynaecol. 2013; 56(2): 350 -359.
- Jaigobin C, Silver FL. Stroke and pregnancy. 2000; 31:2948–51.
- Le LT, Wendling A. Anesthetic management for cesarean section in a patient with rupture of a cerebellar arteriovenous malformation. J Clin Anesth. 2009 Mar ;21(2):143-8.
- Lapinsky SE, Rojas-Suarez JA, Crozier TM, Vasquez DN, Barrett N, Austin K, et al. Mechanical ventilation in critically-ill pregnant women: a case series. Int J Obstet Anesth. 2015 Nov; 24(4):323-8.
- Subramanian R, Sardar A, Mohanaselvi S, Khanna P, Baidya DK. Neurosurgery and pregnancy. J Neuroanaesthesiol Crit Care 2014;1:166-72.
- Kazuyoshi Aoyama, P Gareth Seaward and Stephen E Lapinsky. Fetal outcome in the critically ill pregnant woman. Crit Care. 2014; 18(3): 307.
- Wang LP, Paech MJ. Neuroanesthesia for the pregnant woman. Anesth Analg. 2008 Jul;107(1):193-200.
- Yoo KY, Lee JC, Yoon MH, Shin MH, Kim SJ, Kim YH, et al. The effects of volatile anesthetics on spontaneous contractility of isolated human pregnant uterine muscle: a comparison among sevoflurane, desflurane, isoflurane, and halothane. Anesth Analg. 2006 Aug;103(2):443-7.
- Yildiz K, Dogru K, Dalgic H, Serin IS, Sezer Z, Madenoglu H, et al. Inhibitory effects of desflurane and sevoflurane on oxytocin-induced contractions of isolated pregnant human myometrium. Acta Anaesthesiol Scand. 2005 Oct; 49(9):1355-9.
- Bisri DY, Wullur C, Bisri T. Anaesthetic management for combined emergency caesarean section and craniotomy tumour removal. J Neuroanaesthesiol Crit Care. 2017; 4:53-6.
- Khurana, T, Taneja, B, & Saxena K. N. Anesthetic management of a parturient with glioma brain for caesarean section immediately followed by craniotomy. J Anaesthesiol Clin Pharmacol. 2014. jul – Sep. 30(3), 397–399.
Corresponding Author
Dr Naresh.V
Department of Anaesthesiology and Pain Medicine
Yashoda Hospital, Somajiguda, Hyderabad