Skip to main content
SpringerLink
Log in

Case 81: A Tragic Case

  • Chapter
  • First Online:
Near Misses in Pediatric Anesthesia

  • 1487 Accesses

Abstract

Today you find yourself in the labor delivery suite (LD). A previously fit and healthy 19-year-old female (74 kg, gravida 1, para 0) is admitted to the LD. She is 34 weeks pregnant and is complaining of an increasingly severe headache and left-sided facial weakness. At 28 weeks, she had been admitted to the emergency room (ER) after a witnessed grand mal epileptic convulsion. Investigations showed an extensive right frontoparietal lesion. The diagnosis is suggestive of a glioma. It was decided that she should be started on Phenytoin and be allowed to continue her pregnancy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Chater SN, Greig AJ, Sugden JC. Epidural anesthesia in the presence of a cerebral tumour. Anaesthesia. 1987;42:443.

    Google Scholar 

  2. Keps ER, Andrews C, Radnay PA, Schapira M, Stark DCC. Conduct of anesthesia for delivery with grossly raised cerebro-spinal fluid pressure. N Y State J Med. 1972;72:1155–6.

    Google Scholar 

  3. Goroszeniuk T, Howard RS, Wright JT. The management of labour using continuous lumbar epidural analgesia in a patient with a malignant cerebral tumour. Anaesthesia. 1986;41:1128–9.

    Article  PubMed  CAS  Google Scholar 

  4. Hodgkinson R. Total spinal block after epidural injection into an interspace adjacent to an inadvertent dural perforation. Anesthesiology. 1981;55:593–5.

    Article  PubMed  CAS  Google Scholar 

  5. Moir DD, Thorburn J. Obstetric anaesthesia and analgesia. 3rd ed. London: Baillière Tindall; 1986. 238.

    Google Scholar 

  6. Hilt H, Gramm HJ, Link J. Changes in intracranial pressure associated with extradural anaesthesia. BJA. 1986;58:676–80.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesia, Stanford University, Stanford, CA, USA

    John G. Brock-Utne MD, PhD, FFA(SA)

Authors
  1. John G. Brock-Utne MD, PhD, FFA(SA)
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Brock-Utne, J.G. (2013). Case 81: A Tragic Case. In: Near Misses in Pediatric Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7040-3_81

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-7040-3_81

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7039-7

  • Online ISBN: 978-1-4614-7040-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation