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VOLUME 4 , ISSUE 1 ( January-June, 2020 ) > List of Articles

CASE REPORT

Anesthetic Considerations in an Eclamptic Patient Undergoing Cesarean and Craniotomy Simultaneously: A Case Report

Deepika Arora, Ruchi Gupta, Gaganjot Kaur

Keywords : Eclampsia, Intracranial hemorrhage, Preeclampsia, Pregnancy,Anesthetic considerations

Citation Information : Arora D, Gupta R, Kaur G. Anesthetic Considerations in an Eclamptic Patient Undergoing Cesarean and Craniotomy Simultaneously: A Case Report. Curr Trends Diagn Treat 2020; 4 (1):26-28.

DOI: 10.5005/jp-journals-10055-0083

License: CC BY-NC 4.0

Published Online: 28-09-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Eclampsia is an unpredictable multisystem disorder of pregnancy and is responsible for the large mortality rates due to acute cerebral complications. The estimated mortality of eclampsia-associated intracranial hemorrhage is 9–38%.The incidence being even higher in developing countries. Pregnancy-induced intracranial hemorrhage is a rare yet potentially devastating event in pregnancy. Case description: We report the case of a 34-year-old G4P3L1 female with period of gestation 34 weeks and acute-onset eclampsia. She had a GCS of E2V1M5 and presented with blood pressure of 200/100 mm Hg with right-sided weakness and seizures. Her pupils were bilaterally constricted and nonreactive. On further investigation, her magnetic resonance imaging showed frontoparietal hematoma with a midline shift of 11 mm, necessitating urgent neurosurgery. Due to her deteriorating condition, she was taken up for emergency lower segment cesarean section (LSCS) and simultaneous decompressive craniotomy. Further management and implications will be discussed. Discussion: Intracranial hemorrhage is an important cause of morbidity and mortality in pregnancy. This case demonstrated the need of emergency procedures when the life of both mother and fetus are at risk and the advantage of multispecialty approach for a better patient outcome.


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