[Anaesthetic management of excision of a cervical intraspinal tumor with intraoperative neurophysiologic monitoring in a pregnant woman at 29 weeks].
The intraoperative neurophysiological monitoring is a technique used to test and monitor nervous function. This technique has become essential in some neurosurgery interventions, since it avoids neurological injuries during surgery and reduces morbidity. The experience of intraoperative neurophysiological monitoring is limited in some clinical cases due to the low incidence of pregnant women undergoing a surgical procedure. A case is presented of a 29-weeks pregnant woman suffering from a cervical intraspinal tumour with intense pain, which required surgery. The collaboration of a multidisciplinary team composed of anaesthesiologists, neurosurgeons, neurophysiologists and obstetricians, the continuous monitoring of the foetus, the intraoperative neurophysiological monitoring, and maintaining the neurophysiological and utero-placental variables were crucial for the proper development of the surgery. According to our experience and the limited publications in the literature, no damaging effects of this technique were detected at maternal-foetal level. On the contrary, it brings important benefits during the surgery and for the final result.
Facultativo Especialista en Anestesiología y Reanimación, Hospital de Rehabilitación y Traumatología, Hospitales Universitarios Virgen del Rocío, Sevilla, España. Electronic address: rosanabixi7@hotmail.com.
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Guerrero-Domínguez
Facultativo Especialista en Anestesiología y Reanimación, Hospital de Rehabilitación y Traumatología, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
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González-González
Facultativo Especialista en Anestesiología y Reanimación, Hospital de Rehabilitación y Traumatología, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
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Rubio-Romero
Facultativo Especialista en Anestesiología y Reanimación, Hospital de Rehabilitación y Traumatología, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
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Federero-Martínez
Facultativo Especialista en Anestesiología y Reanimación, Hospital de Rehabilitación y Traumatología, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
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Jiménez
D000777:Anesthetics; D005260:Female; D006801:Humans; D064795:Intraoperative Neurophysiological Monitoring; D016343:Monitoring, Intraoperative; D009493:Neurosurgery; D019635:Neurosurgical Procedures; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery*
D000777:Anesthetics
Anaesthesia; Anestesia; Cirugía espinal; Embarazo; Evoked potentials; Intraoperative neurophysiological monitoring; Monitorización neurofisiológica intraoperatoria; Potenciales evocados; Pregnancy; Spinal surgery