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Management of pregnant female with meningioma for craniotomy.
MedLine Citation:
PMID:  21799618     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Intracranial meningioma during pregnancy challenges the skill of obstetricians, neurosurgeons and neuroanesthesiologists in resection of the tumor and to secure delivery of the baby. Advances in fetal and maternal monitoring, neuroanesthesia, and microsurgical techniques allow safe neurosurgical management of these patients. Urgent neurosurgical intervention is reserved for the management of malignancies, active hydrocephalus, and benign brain tumors associated with signs of impending herniation or progressive neurological deficit. Particular attention is given to maintain stable maternal hemodynamics to avoid uterine hypo perfusion and fetal hypoxia intraoperatively. Therefore, the major challenge of neuroanesthesia during pregnancy is to provide an appropriate balance between competing, and even contradictory, clinical goals of neuroanesthesiology and obstetric practice.
Authors:
Sandeep Sahu; Indu Lata; Devendra Gupta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosciences in rural practice     Volume:  1     ISSN:  0976-3155     ISO Abbreviation:  J Neurosci Rural Pract     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2011-07-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101533710     Medline TA:  J Neurosci Rural Pract     Country:  India    
Other Details:
Languages:  eng     Pagination:  35-7     Citation Subset:  -    
Affiliation:
Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, UP, India.
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