Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

The dilemma of choosing obstetrics and anesthesia techniques in a patient with cerebral cavernomatosis: a case report

Verónica López Pérez, Mercedes Jaro, Jose J. Arcas, Mercedes Del Olmo, Maria Y. Tebar

Downloads: 0
Views: 172


This report describes the case of a pregnant woman who arrived for preanesthetic assessment of External Cephalic Version (ECV) for fetus in breech presentation and cesarean section in case of ECV failure. Although the technique seems simple, attempts to rotate the fetus can result in elevated intracranial pressure, which might cause malformation bleeding. The most appropriate anesthetic technique in cases of arteriovenous malformations during C-sections has not been determined. Neuroaxial anesthesia is safe only in stable brain cavernomas, but the presence of spinal malformations contraindicates it. Anesthetic goals include stabilizing the blood pressure and reducing the risk of rupture.


Cerebral cavernomatosis;  Cesarean section;  External cephalic version;  Obstetric anesthesia


1 R.A. Haasdijk, C. Cheng, A.J. Maat-Kievit, H.J. Duckers Cerebral cavernous malformations: from molecular pathogenesis to genetic counselling and clinical management Eur J Hum Genet, 20 (2012), pp. 134-140

2 P. Bhakta, A. Hussain, V. Singh, A. Bhakta Anesthetic management of a pregnant patient with cerebral angioma scheduled for caesarean section Acta Anaesthesiol Taiwan, 53 (2015), pp. 148-149

3 B.Y. Ong, J. Littleford, R. Segstro, D. Paetkau, I. Sutton Spinal anaesthesia for Caesarean section in a patient with a cervical arteriovenous malformation Can J Anaesth, 43 (1996), pp. 1052-1058

4 P.K. Sinha, P.K. Neema, R.C. Rathod Anesthesia and intracranial arteriovenous malformation Neurol India, 52 (2004), pp. 163-170

5 C. Vallera, L.O. Choi, C.M. Cha, R.W. Hong Uterotonic medications: oxytocin, methylergonovine, carboprost, misoprostol Anesthesiol Clin, 35 (2017), pp. 207-219

60b0f21fa953955c5a6a3b82 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections