Emergency caesarean section in a patient with intracerebral tuberculoma
The incidence of tuberculosis in pregnancy ranges between 1-2% amongst hospital deliveries in the trop-ics. Tuberculosis of central nervous system accounts for about 5% of extra pulmonary cases and manifests as meningitis or uncommonly as tuberculoma. The management of intracerebral tuberculoma diag...
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2007-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=3;spage=244;epage=246;aulast=Gandhi |
| _version_ | 1818584893864542208 |
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| author | Ranju Gandhi Hemanshu Prabhakar |
| author_facet | Ranju Gandhi Hemanshu Prabhakar |
| author_sort | Ranju Gandhi |
| collection | DOAJ |
| description | The incidence of tuberculosis in pregnancy ranges between 1-2% amongst hospital deliveries in the trop-ics. Tuberculosis of central nervous system accounts for about 5% of extra pulmonary cases and manifests as meningitis or uncommonly as tuberculoma. The management of intracerebral tuberculoma diagnosed during pregnancy should be same as that in non-pregnant subjects with antituberculous treatment. Emergency caesar-ean section in a patient with intracerebral tuberculoma poses unique challenges to the anaesthesiologist. There are no published reports on anaesthetic management of pregnancy with tuberculoma. We report the case of a woman with intracerebral tuberculoma presenting for emergency caesarean section. The anaesthetic goals in this patient were combined to that of principles of obstetrical anaesthesia to ensure a favourable maternal and fetal outcome. The anaesthetic technique chosen should prevent aspiration, avoid fluctuations in intracranial pressure, maintain stable haemodynamics, provide a sufficient depth of anaesthesia and good postoperative analgesia. We believe that general anaesthesia is the safest approach in such patients. We suggest general anaesthesia to be preferred over regional anaesthesia technique. |
| first_indexed | 2024-12-16T08:28:25Z |
| format | Article |
| id | doaj.art-e8b7f736223e4ed49c7ba7d9356c34f6 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-16T08:28:25Z |
| publishDate | 2007-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-e8b7f736223e4ed49c7ba7d9356c34f62022-12-21T22:37:56ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492007-01-01513244246Emergency caesarean section in a patient with intracerebral tuberculomaRanju GandhiHemanshu PrabhakarThe incidence of tuberculosis in pregnancy ranges between 1-2% amongst hospital deliveries in the trop-ics. Tuberculosis of central nervous system accounts for about 5% of extra pulmonary cases and manifests as meningitis or uncommonly as tuberculoma. The management of intracerebral tuberculoma diagnosed during pregnancy should be same as that in non-pregnant subjects with antituberculous treatment. Emergency caesar-ean section in a patient with intracerebral tuberculoma poses unique challenges to the anaesthesiologist. There are no published reports on anaesthetic management of pregnancy with tuberculoma. We report the case of a woman with intracerebral tuberculoma presenting for emergency caesarean section. The anaesthetic goals in this patient were combined to that of principles of obstetrical anaesthesia to ensure a favourable maternal and fetal outcome. The anaesthetic technique chosen should prevent aspiration, avoid fluctuations in intracranial pressure, maintain stable haemodynamics, provide a sufficient depth of anaesthesia and good postoperative analgesia. We believe that general anaesthesia is the safest approach in such patients. We suggest general anaesthesia to be preferred over regional anaesthesia technique.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=3;spage=244;epage=246;aulast=GandhiAnaesthesia; Caesarean section; PregnancyTuberculoma. |
| spellingShingle | Ranju Gandhi Hemanshu Prabhakar Emergency caesarean section in a patient with intracerebral tuberculoma Indian Journal of Anaesthesia Anaesthesia; Caesarean section; Pregnancy Tuberculoma. |
| title | Emergency caesarean section in a patient with intracerebral tuberculoma |
| title_full | Emergency caesarean section in a patient with intracerebral tuberculoma |
| title_fullStr | Emergency caesarean section in a patient with intracerebral tuberculoma |
| title_full_unstemmed | Emergency caesarean section in a patient with intracerebral tuberculoma |
| title_short | Emergency caesarean section in a patient with intracerebral tuberculoma |
| title_sort | emergency caesarean section in a patient with intracerebral tuberculoma |
| topic | Anaesthesia; Caesarean section; Pregnancy Tuberculoma. |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=3;spage=244;epage=246;aulast=Gandhi |
| work_keys_str_mv | AT ranjugandhi emergencycaesareansectioninapatientwithintracerebraltuberculoma AT hemanshuprabhakar emergencycaesareansectioninapatientwithintracerebraltuberculoma |