POSTERIOR FOSSA SURGERY IN THE LATERAL POSITION IN A PREGNANT PATIENT WITH CEREBELLOPONTINE ANGLE TUMOR ANAESTHETIC MANAGEMENT

Parth Patel, Varsha Aswani

Abstract


Here we present a case report of a pregnant woman diagnosed with astrocytoma and having 7 months amenorrhoea. She
was operated for her brain tumor in the lateral position and her caesarean section was carried out in the same session in the
same position. Intricate management of intracranial pressures during the operation in the lateral position while maintaining fetal oxygenation
makes this case an interesting one. Surgical resection is usually the first line of management in a newly diagnosed malignant astrocytoma, however
with radiation therapy an option, the treatment toxicities to the mother and the foetus should be considered. Anaesthetic precautions during this
patient are the ones required for a raised (Intracranial pressure)ICP.Avoiding fetal compromise and maintaining adequate ICP proves to be a
unique challenge.(4)(5)


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References


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