[Idiopathic intracranial hypertension: a caesarean with epidural anaesthesia after bringing the cerebrospinal fluid pressure back to normal]

Abstract

Idiopathic intracranial hypertension is diagnosed by exclusion. Because of its uncertain physiopathology and infrequent occurrence, its anaesthetic management is not well defined. The patient in this case is a pregnant woman with this disease with no lumbar-peritoneal shunt who was referred for non-urgent caesarean section, consisting of CSF drainage and pressure normalisation before the administration of epidural anaesthesia. We believe this technique can de effective to achieve adequate blockage and increased patient comfort, as well as improving postoperative recovery.

Keywords: Anestesia epidural; Anestesia obstétrica; Caesarean section; Cesárea; Epidural anaesthesia; Hipertensión intracraneal; Intracranial hypertension; Intracranial pressure; Obstetric anaesthesia; Presión intracraneal; Pseudotumor cerebral; Pseudotumor cerebri.