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Anesth Analg 1986; 65:1007-1012
© 1986 International Anesthesia Research Society
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Maternal Cortical Vein Thrombosis and the Obstetric Anesthesiologist

Dirk Younker, MD, Monica M. Jones, MD, Jayshree Adenwala, MD, Alan Citrin, MD, and Thomas H. Joyce, III, MD

Department of Anesthesiology, Baylor College of Medicine, Houston, Texas.

Abstract

Maternal cortical vein thrombosis is a potentially fatal complication of pregnancy and the puerperium. Patients may present with focal neurologic deficits, seizures, or symptoms indicating increased intracranial pressure. Associated conditions include maternal dehydration and preeclampsia or frank eclampsia. Parturients may require anesthesia for various types of delivery. Safe administration of appropriate anesthesia must take into account the possible presence of a coagulopathy or reduced intracranial compliance. Case presentations, a literature review, possible pathogenetic mechanisms, and specific anesthetic considerations are discussed to enable the obstetric anesthesiologist to develop a rational plan of management.

Key Words: ANESTHETICS, OBSTETRIC • PREGNANCY—coronary vein thrombosis • BRAIN—coronary vein thrombosis




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1986 by the International Anesthesia Research Society.