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CASE REPORT
Year : 2016  |  Volume : 17  |  Issue : 1  |  Page : 25-28

Anesthetic concern during cesarean delivery in patient with ruptured cerebral arteriovenous malformation


Department of Anaesthesiology, Dr. S N Medical College, Jodhpur, Rajasthan, India

Correspondence Address:
Rakesh Karnawat
Near Mohammedi Masjid, Hanuman Ji Ki Bhakhari, Nai Sarak, Jodhpur - 342 001, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-0311.183571

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Vascular malformations of the brain are a rare cause of intracranial hemorrhage during pregnancy. The presentation of arteriovenous malformations during pregnancy is usually a result of hemorrhage following rupture. Once hemorrhage occurs, it accounts for 5–12% of all the maternal deaths and remains the third most common nonobstetric cause of maternal morbidity. Successful anesthetic management during cesarean delivery requires close monitoring to address both the varying maternal and fetal needs. The fundamental aims are to maintain oxygenation and stable systemic, cerebral, and placental hemodynamics and to avoid increase in intracranial pressure.


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