Neuroanaesthetic challenges in a pregnant patient with a huge cerebellopontine angle meningioma

BMJ Case Rep. 2023 May 8;16(5):e253694. doi: 10.1136/bcr-2022-253694.

Abstract

Intracranial malignancy among pregnant women is extremely rare. Neuroanaesthesia for such high-risk patients demands extreme precautions. Our patient presented with a huge right cerebellopontine angle meningioma during the first trimester of her pregnancy. We share our valuable perianaesthetic challenges in managing her tumour-debulking surgery and a brief review of intracranial neoplasm during pregnancy.

Keywords: Anaesthesia; Brain stem / cerebellum; Coma and raised intracranial pressure; Cranial nerves; Neuroanaesthesia.

Publication types

  • Case Reports

MeSH terms

  • Cerebellar Neoplasms* / diagnostic imaging
  • Cerebellar Neoplasms* / pathology
  • Cerebellar Neoplasms* / surgery
  • Cerebellopontine Angle / pathology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Meningeal Neoplasms* / diagnostic imaging
  • Meningeal Neoplasms* / pathology
  • Meningeal Neoplasms* / surgery
  • Meningioma* / diagnostic imaging
  • Meningioma* / pathology
  • Meningioma* / surgery
  • Neuroma, Acoustic* / diagnostic imaging
  • Neuroma, Acoustic* / pathology
  • Neuroma, Acoustic* / surgery
  • Pregnancy