Anesthetic management of caesarean section of a pregnant woman with cerebral arteriovenous malformation: a case report.
BACKGROUND
The choice of anesthetic technique for Caesarean section of a pregnant woman with cerebral arteriovenous malformation (AVM) is made to maintain a stable cardiovascular system, but due to the rarity of this condition, no definitive guidelines exist.


METHODS
We report the case of anesthetic management of Caesarean section of a pregnant woman with cerebral AVM (grade V). After the diagnosis, the radiologists decided to perform angiography and endovascular operation for treatment after the termination of pregnancy. The patient refused to undergo this procedure and with the beginning of the contractions of uterus, she was admitted to hospital urgently at the 40th week of gestational age and Caesarean section under general anesthesia was performed successfully.


CONCLUSIONS
We concluded that in case of emergency, general anesthesia can be used satisfactorily for Caesarean section of a pregnant woman with cerebral AVM. Ensuring optimal maternal and fetal well-being, we are of the opinion that it is also possible to control the arterial blood pressure of patients with general anesthesia.
Coskun
Demet
D
Department of Anesthesiology and Reanimation Gazi University Faculty of Medicine, Ankara, Turkey. dcoskun@gazi.edu.tr.
Mahli
Ahmet
A
Yilmaz
Zerrin
Z
Cizmeci
Pelin
P