Intrathecal anesthesia for cesarean delivery via a subarachnoid drain in a woman with benign intracranial hypertension.
A 26-year-old primiparous patient with intractable benign intracranial hypertension treated by cerebrospinal fluid drainage through an indwelling spinal catheter was expecting twins. At 30 weeks she presented for emergent cesarean delivery secondary to a non-reassuring fetal condition. In consultation with the neurosurgical team, spinal anesthesia for the cesarean delivery was induced successfully through the spinal catheter. Cesarean delivery proceeded uneventfully with a favorable neonatal outcome.
Heckathorn
J
J
Institute of Anesthesiology, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Cata
J P
JP
Barsoum
S
S
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D002585:Cesarean Section; D004632:Emergency Medical Services; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications* / Q000503:physiopathology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*; D011256:Pregnancy Outcome; D013346:Subarachnoid Space; D014427:Twins