Anaesthesia Management for Craniotomy in Pregnant Patients

Abstract

Meningioma is an intracranial tumour originating from the meninges and is often benign. Its management becomes complex when it occurs in pregnant women, as it must consider the safety of both mother and foetus simultaneously. This paper aims to describe the management of a parasagittal meningioma case in a third-trimester pregnant woman through a multidisciplinary approach. A 37-year-old female patient at 28-29 weeks of gestation was diagnosed with an extra-axial tumour in the left parietal region suspected as parasagittal meningioma and had right hemiparesis. Management was carried out in a multidisciplinary manner involving neurosurgery, obstetrics and gynaecology, anaesthesia, and intensive care teams. After craniotomy for tumour excision, the patient's neurological condition showed improvement without severe complications. The pregnancy was maintained, and the patient left the hospital in a steady state of health, without seizures, and with a good surgical wound. No signs of foetal distress were found during and after the procedure. Surgical intervention for meningioma cases in the third trimester of pregnancy can be performed safely and effectively with multidisciplinary team coordination. Thorough planning and intensive monitoring are key to success in maintaining the safety of both mother and foetus..