| General Anesthesia for a Cesarean Section in a Patient with a Brain Tumor: A case report. |
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Heon Keun Lee, Se Hyun Jeon, Ju Tae Sohn, Il Woo Shin, Young Kyun Chung |
1Department of Anesthesiology, College of Medicine, Gyeongsang National University, Jinju, Korea. jtsohn@nongae.gsnu.ac.kr
2Gyeongsang Institute of Health Sciences, Gyeongsang National University, Jinju, Korea. |
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| Abstract |
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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. |
| Key Words:
Brain tumor; cesarean section; general anesthesia; intracranial pressure |
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