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Anesthesia for the Parturient with Intracranial and Spinal Surgery

  • Zerrin Ozkose Satirlar
  • Gozde Inan
Chapter

Abstract

Pregnant women with concurrent neurological pathology that requires neurosurgical intervention or neuroanesthesia pose a unique challenge. The physiological changes that occur during pregnancy, including changes in immunological and hormonal status, fluid shifts, increased intra-abdominal pressure, increased intracranial pressure during delivery, and hypercoagulability alter the complexity of anesthetic management. Evidence-based guidelines for the management of pregnant women with neurological pathologies and the optimal timing of an intervention are lacking. Therefore, neuroanesthetists should aim to achieve a balance between optimal care for mother and minimal harm for fetus by a multidisciplinary approach.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology and ReanimationGazi University Faculty of MedicineAnkaraTurkey

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