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Case Reports: Rare disease
Neuroanaesthetic challenges in a pregnant patient with a huge cerebellopontine angle meningioma
  1. Tat Boon Yeap1,
  2. Nurul Ashikin Hamzah2,
  3. Muhammad Ihfaz Ismail2 and
  4. Laila Ab Mukmin3
  1. 1Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
  2. 2Department of Neurosciences, School of Medical Sciences, Hospital Universiti Sains Malaysia, Kota Bahru, Kelantan, Malaysia
  3. 3Department of Anaesthesia and Intensive Care Unit, Hospital Universiti Sains Malaysia, Kota Bahru, Kelantan, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}ums.edu.my

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.

  • Anaesthesia
  • Coma and raised intracranial pressure
  • Brain stem / cerebellum
  • Cranial nerves
  • Neuroanaesthesia

https://doi.org/10.1136/bcr-2022-253694

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    Footnotes

    • Contributors TBY and NAH were the coauthors of this manuscript. LAM, TBY, MII and NAH were the clinicians involved in the patient management perioperatively.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.