Anesthetic Management for Caesarean Section and Craniotomy at the Same Session in Pregnant Patient with Spontaneous Cerebellar Hematomas

Jie Zhong; Ren Liao

doi:10.36502/2024/ASJBCCR.6362

Anesthetic Management for Caesarean Section and Craniotomy at the Same Session in Pregnant Patient with Spontaneous Cerebellar Hematomas | Abstract

Asploro Journal of Biomedical and Clinical Case Reports

ISSN: 2582-0370

Article Type: Case Report

DOI: 10.36502/2024/ASJBCCR.6362

Asp Biomed Clin Case Rep. 2024 Jul 31;7(3):196-200

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Jie Zhong¹, Ren Liao^1*
¹Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China

Corresponding Author: Ren Liao
Address: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Received date: 02 July 2024; Accepted date: 24 July 2024; Published date: 31 July 2024

Citation: Zhong J, Liao R. Anesthetic Management for Caesarean Section and Craniotomy at the Same Session in Pregnant Patient with Spontaneous Cerebellar Hematomas. Asp Biomed Clin Case Rep. 2024 Jul 31;7(3):196-200.

Copyright © 2024 Zhong J, Liao R. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Spontaneous Cerebellar Hematomas, Late Pregnancy, General Anesthesia, Caesarean Section, Craniotomy

Abstract

The incidence of spontaneous cerebellar hematomas (SCHs) during late pregnancy is increasing, though still rare. Managing parturients with SCHs poses significant challenges due to the need to balance maternal safety with neonatal considerations, requiring a multidisciplinary approach. This report presents two cases where general anesthesia was used for concurrent Caesarean section and craniotomy. Both patients, at 36 weeks’ gestation, presented with severe headaches, nausea, vomiting, and gait ataxia. MRI scans revealed cerebellar hematomas, necessitating surgical intervention. Both surgeries were successful with stable maternal vital signs and healthy neonates delivered with high APGAR scores. Postoperative recovery was uneventful, and both patients were discharged without neurological deficits. The report emphasizes the importance of rapid induction and recovery, maintaining hemodynamic stability, and ensuring sufficient cerebral perfusion while avoiding fetal depression during such complex procedures.