title: Anesthetic management of pregnant women with stroke.
abstract: Stroke during pregnancy is rare, but after occurring, most patients develop serious neurological conditions. Hemorrhagic stroke, including intracerebral hemorrhage and subarachnoid hemorrhage, often requires emergency surgical intervention. In addition to significant maternal physiological changes, the potential for fetal harm should be considered during anesthetic management of these patients. Whether cesarean section or neurosurgical intervention should be prioritized or performed simultaneously in pregnant women with stroke is an important issue. Whether the patients receive general or spinal and epidural anesthesia is another clinically significant issue. Finally neurosurgeons, anesthesiologists, and obstetricians should cooperate to manage pregnant women with stroke.
authors: Department of Anesthesiology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan. ykenji@kfz.biglobe.ne.jp
authors: Kenji
authors: K
authors: Yoshitani
authors: Yuzuru
authors: Y
authors: Inatomi
authors: Ken
authors: K
authors: Kuwajima
authors: Yoshihiko
authors: Y
authors: Ohnishi
mesh_terms: D000767:Anesthesia, Epidural / Q000379:methods; D000768:Anesthesia, General / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods; D002585:Cesarean Section; D003299:Cooperative Behavior; D005260:Female; D005865:Gestational Age; D006728:Hormones / Q000502:physiology; D006801:Humans; D007231:Infant, Newborn; D033183:Interdisciplinary Communication; D019635:Neurosurgical Procedures; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D020521:Stroke / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*
chemical_list: D006728:Hormones