Korean J Anesthesiol.  2002 Oct;43(4):515-519. 10.4097/kjae.2002.43.4.515.

General Anesthesia for a Cesarean Section in a Patient with a Brain Tumor: A case report

• Lee HK
• Jeon SH
• Sohn JT
• Shin IW
• Chung YK

• KMID: 2033627
• DOI: http://doi.org/10.4097/kjae.2002.43.4.515

Abstract

A 28-year-old primigravida at 33 weeks gestation was referred to our hospital because of aggravation of seizures which occurred intermittently for the past 2 years. A brain magnetic resonance imaging scan taken at 33 weeks gestation showed a large brain tumor (7X5X4 cm) in the left high frontal lobe. She had a cesarean section under general anesthesia at 38 weeks and 1 day gestation. General anesthesia was induced with thiopental 250 mg, succinylcholine 75 mg and lidocaine 60 mg after a vecuronium 0.8 mg intravenous injection. The hyperventilation and mannitol used to reduce increased intracranial pressure (ICP) in this patient may be harmful and detrimental to the fetus before delivery. Achieving both ICP control and fetal well being at the same time during a cesarean section can be challenging to anesthesiologists. We report the anesthetic management of a cesarean section in a patient with a large brain tumor.

Keyword

Brain tumor; cesarean section; general anesthesia; intracranial pressure

MeSH Terms

Adult
Anesthesia, General*
Brain Neoplasms*
Brain*
Cesarean Section*
Female
Fetus
Frontal Lobe
Humans
Hyperventilation
Injections, Intravenous
Intracranial Pressure
Lidocaine
Magnetic Resonance Imaging
Mannitol
Pregnancy
Seizures
Succinylcholine
Thiopental
Vecuronium Bromide
Lidocaine
Mannitol
Succinylcholine
Thiopental
Vecuronium Bromide