Management of Patient with Pregnancy and Brain Tumor

  • Sonal Patel
  • Sabri BarsoumEmail author


A 29-year-old primipara woman (162 cm, 78 kg) at 36-week gestation was admitted from the ER with the complaint of severe headache localized to the left frontal area for 3 months, accompanied by nausea/vomiting of 1 week duration.


  1. 1.
    Centre for Maternal and Child Enquiries (CMACE). Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2006–08.Google Scholar
  2. 2.
    The Eighth Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG 2011; 118 (Suppl. 1): 1–203.Google Scholar
  3. 3.
    Dias MS, Sekhar LN. Intracranial hemorrhage from aneurysms and arteriovenous malformations during pregnancy and the puerperium. Neurosurgery. 1990;27:855–65.CrossRefGoogle Scholar
  4. 4.
    Hunt HB, Schifrin BS, Suzuki K. Ruptured berry aneurysms and pregnancy. Obstet Gynecol. 1974;43:827–37.PubMedGoogle Scholar
  5. 5.
    Shah AJ, Kilcline BA. Trauma in pregnancy. Emerg Med Clin N Am. 2003;21:615–29.CrossRefGoogle Scholar
  6. 6.
    Weinberg L, Steele RG, Pugh R, Higgins S, Herbert M, Story D. The pregnant trauma patient. Anaesth Intensive Care. 2005;33:167–80.CrossRefGoogle Scholar
  7. 7.
    Fast A, Shapiro D, Ducommun EJ, Friedmann LW, Bouklas T, Floman Y. Low back pain in pregnancy. Spine. 1987;12:368–71.CrossRefGoogle Scholar
  8. 8.
    Ng J, Kitchen N. Neurosurgery and pregnancy. J NeurolNeurosurg Psychiatry. 2008;79:745–52.CrossRefGoogle Scholar
  9. 9.
    Cook T, Woodall N, Frerk C. 4th National Audit of the Royal College of Anaesthetists and the difficult airway society: major complications of airway management in the United Kingdom 2011. Accessed 23 Mar 2012.
  10. 10.
    NganKee WD, Lee A, Khaw KS, Ng FF, Karmakar MK, Gin T. A randomized double-blinded comparison of phenylephrine and ephedrine combinations given by infusion to maintain blood pressure during spinal anesthesia for cesarean delivery: effects on fetal acid-base status and hemodynamic control. Anesth Analg. 2008;107:1295–302.CrossRefGoogle Scholar
  11. 11.
    Cooper DW, Carpenter M, Mowbray P, Desira WR, Ryall DM, Kokri MS. Fetal and maternal effects of phenylephrine and ephedrine during spinal anesthesia for caesarean delivery. Anesthesiology. 2002;97:1582–90.CrossRefGoogle Scholar
  12. 12.
    Brown MD, Levi ADO. Surgery for lumbar disc herniation during pregnancy. Spine. 2001;26:440–3.CrossRefGoogle Scholar
  13. 13.
  14. 14.
    Cottrell and Young’s Neuroanesthesia. 5th Edition. Chapter 23. Pg: 419.Google Scholar
  15. 15.
    Guida M, et al. Aneurysmal subarachnoid Haemorrhage in pregnancy: a case series. Transl Med UniSa. 2012 Jan-Apr;2:59–63.PubMedPubMedCentralGoogle Scholar
  16. 16.
    Jing-Jie Liu MD, Zheng Guan MD, et al. Complications after spinal anesthesia in adult tethered cord syndrome. Medicine (Baltimore). 2016;95(29)CrossRefGoogle Scholar
  17. 17.
    Dean C, Douglas J. Magnesium and the obstetric anaesthetist. Int J Obstet Anesth. 2013;22:52–63. Scholar
  18. 18.
    Oddie S, Tuffnell DJ, McGuire W. Antenatal magnesium sulfate: neuro-protection for preterm infants. Arch Dis Child Fetal Neonatal Ed. 2015;100:F553–7. Scholar
  19. 19.
    Shnider SM. Serum cholinesterase activity during pregnancy, labour and the puerperium. Anesthesiology. 1965;26:335.CrossRefGoogle Scholar
  20. 20.
    Robertson GS. Serum cholinesterase deficiency 11: pregnancy. Br J Anaesth. 1966;38:361.CrossRefGoogle Scholar
  21. 21.
    MacDonald AG, Graham IH. Suxamethonium apnoea in a pregnant patient. Br J Anaesth. 1968;40:711.Google Scholar
  22. 22.
    Evans DB, Lehmann H. Pseudocholinesterase activity in liver transplantation. Lancet. 1971;1:1040.CrossRefGoogle Scholar
  23. 23.
    Wang LP, Peach MJ. Neuroanesthesia for the pregnant woman. Neurosurgical Anesthesiology. 2008;107(1):193–200.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.Cleveland ClinicClevelandUSA

Personalised recommendations