Neuroanesthesia and Pregnancy

  • Valentina Della Torre
  • Alessandro Bertuccio
  • Chiara Robba


Several neurological diseases manifest predominantly in pregnancy. These are usually associated with pregnancy-related conditions: vascular endothelial dysfunction and activation of hormonal receptors on cell surfaces.

Anesthetic management involves a multidisciplinary team to ensure the best outcome of the mother and fetus. General anesthesia (GA) seems to be the safest type of anesthesia to administer during neurological procedures in pregnant patients. Cardiotocography (CTG) monitoring seems less useful, as a silent CTG is a normal consequence of general anesthesia. Fetal heart rate monitoring is more accurate and can be performed easily during neurological procedures in pregnant patients; it is a sensitive marker to obtain significant information about fetal condition during GA. The aim of this chapter is to report recent clinical evidence related to anesthetic management of pregnant women undergoing neurosurgery.


Neuroanesthesia and pregnancy Intracranial procedures and pregnancy Brain tumors and pregnancy Neurosurgery and pregnancy Traumatic brain injury and pregnancy 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Valentina Della Torre
    • 1
  • Alessandro Bertuccio
    • 2
  • Chiara Robba
    • 1
  1. 1.Neurocritical Care UnitAddenbrookes HospitalCambridgeUK
  2. 2.Ospedale S Cesare Arrigo Biagio AntonioAlessandriaItaly

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