Case report highlights anesthetic management of obstructive hydrocephalus during pregnancy, suggesting multidisciplinary interventions for improved outcomes.
Intracranial neoplasms manifesting with symptoms of elevated intracranial pressure during term gestation are exceptionally uncommon, and the absence of standardised management protocols complicates their therapeutic approach. Optimal outcomes for both maternal and foetal health necessitate a case-specific, multidisciplinary approach. The anaesthetic management of a pregnant patient at term with obstructive hydrocephalus is fraught with difficulties owing to the physiological alterations attributable to pregnancy, the existing neurological pathology and the imminent risk of rapid clinical deterioration. This case report discusses the management of a pregnant woman at 39 weeks of gestation, diagnosed with obstructive hydrocephalus, who underwent an emergency Caesarean section followed by the placement of a ventriculoperitoneal shunt.
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Elango et al. (2025) studied this question.
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