title: [Two cases of parturients with intracranical hemorrhage accompanied by seizure].
abstract: Intracranial hemorrhage during pregnancy is a rare complication, and it results in a high perinatal mortality rate. We recently encountered 2 cases of intracranial hemorrhage during pregnancy. They underwent cesarean section under general anesthesia. Anesthetic management is difficult because we must avoid hemodynamic change and increasing intracranial pressure, and we have difficult airway management. It is also very difficult to prepare for the prevention before the onset because it develops suddenly, and quick action is important. We must prepare tools of airway management and assemble people. In addition, it is important to use the hypotensive drugs which do not affect placental blood-flow to keep systolic blood pressure around 120-140 if it is necessary to suppress the rise of the blood pressure.
authors.affiliation: Department of Anesthesiology, Tokai University School of Medicine, Isehara 259-1193.
authors.forename: Shuhei
authors.initials: S
authors.lastname: Tetsu
authors.forename: Miho
authors.initials: M
authors.lastname: Maeda
authors.forename: Genya
authors.initials: G
authors.lastname: Urimoto
authors.forename: Miyoko
authors.initials: M
authors.lastname: Hirasawa
authors.forename: Junichi
authors.initials: J
authors.lastname: Nishiyama
authors.forename: Toshiyasu
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D002543:Cerebral Hemorrhage / Q000150:complications*; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D012640:Seizures / Q000150:complications*