脊髓麻醉对已知颅蛛网膜囊肿的待产患者进行剖宫产:1例报告

IF 2.3 3区 医学 Q2 ANESTHESIOLOGY International journal of obstetric anesthesia Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI:10.1016/j.ijoa.2024.104320
M. Wen , T. Anwer , M. Mooney , W. Camann , J. Carabuena
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引用次数: 0

摘要

蛛网膜囊肿是充满液体的腔,通常无症状,不需要手术干预。然而,有关注和有限的文献对神经轴手术的安全性产科患者颅内蛛网膜囊肿。我们描述了一个怀孕患者的麻醉管理与一个大蛛网膜囊肿肿块影响小脑谁提出了分娩。经过多学科的讨论,结论是神经轴分娩麻醉和分娩是合适的。最终,由于胎儿不耐受分娩,患者接受了剖宫产脊髓麻醉。
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Spinal anesthesia for cesarean delivery in a laboring patient with known cranial arachnoid cyst: a case report
Arachnoid cysts are fluid-filled cavities that are usually asymptomatic and do not require surgical intervention. However, there are concerns and limited literature on the safety of neuraxial procedure in obstetric patients with cranial arachnoid cysts. We describe the anesthetic management of a pregnant patient with a large arachnoid cyst with mass effect on the cerebellum who presented in labor. After a multidisciplinary discussion, it was concluded that neuraxial labor anesthesia and labor would be appropriate. Ultimately, the patient received spinal anesthesia for cesarean delivery for fetal intolerance to labor.
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来源期刊
CiteScore
4.70
自引率
7.10%
发文量
285
审稿时长
58 days
期刊介绍: The International Journal of Obstetric Anesthesia is the only journal publishing original articles devoted exclusively to obstetric anesthesia and bringing together all three of its principal components; anesthesia care for operative delivery and the perioperative period, pain relief in labour and care of the critically ill obstetric patient. • Original research (both clinical and laboratory), short reports and case reports will be considered. • The journal also publishes invited review articles and debates on topical and controversial subjects in the area of obstetric anesthesia. • Articles on related topics such as perinatal physiology and pharmacology and all subjects of importance to obstetric anaesthetists/anesthesiologists are also welcome. The journal is peer-reviewed by international experts. Scholarship is stressed to include the focus on discovery, application of knowledge across fields, and informing the medical community. Through the peer-review process, we hope to attest to the quality of scholarships and guide the Journal to extend and transform knowledge in this important and expanding area.
期刊最新文献
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