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  • Title: [Anesthetic management of a pregnant woman with brain tumor].
    Author: Shiota N, Satomoto M, Hakusui T, Nakazawa K, Makita K.
    Journal: Masui; 2014 Oct; 63(10):1142-5. PubMed ID: 25693347.
    Abstract:
    A 35-year-old parturient, 35 weeks pregnant, pre- sented with intracranial tumor with increased intracra- nial pressure. She underwent emergency cesarean section under general anesthesia, followed by craniotomy. The intraoperative and postoperative courses were uneventful. The occurrence of brain tumors during pregnancy is very rare; meanwhile pregnancy may aggravate the natural history of an intracranial tumor, and may even unmask previously unknown diagnosis. The decision to proceed with cesarean section and neurosurgery depends on the site, size, type of tumor, neurological signs and symptoms, age of the fetus, and the patient's wishes. Therefore, close communication between the neurologist, neurosurgeon, anesthesiologist, obstetrician and the patient is very important.
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