Journal of Anesthesia and Surgery
Primary Cesarean Delivery Complicated by the Incidental Finding of a Cerebral Aneurysm: Selecting a Safe Anesthesia Technique
Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, NY, USA
Won Chee, M.D, Assistant,Professor, Department of Anesthesiology, Montefiore Medical Center Albert Einstein College of Medicine,Bronx, NY, 10467 USA; Tel: 718 9204316; Fax:718 881 2245; E-mail: email@example.com
Won Chee. Primary Cesarean Delivery Complicated by the Incidental Finding of a Cerebral Aneurysm: Selecting a Safe Anesthesia Technique (2015) J Anesth Surg 2(1) : 32-33.
© 2015 Won Chee. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
The presence of acerebral aneurysm in an obstetric patient raises a special anesthetic concern for Cesarean delivery. General anesthesiaposes the inherently increased risk of a difficult airway as wellasan adverse impact of hypertension during induction and emergence. Epidural anesthesiamay facilitate gradual hemodynamicchangesandallows intraoperative neurologic monitoring.However,potential dural puncture headache may lender it difficult to recognizean intracranialhemorrhage.In the end, spinal anesthesia was chosen for the advantage of avoiding hypertensive responses from either airway stimulation or inadequate analgesia.