• Int J Obstet Anesth · Dec 2024

    Case Reports

    Spinal anesthesia for cesarean delivery in a laboring patient with known cranial arachnoid cyst: a case report.

    • M Wen, T Anwer, M Mooney, W Camann, and J Carabuena.
    • Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women's Hospital, Harvard Medical School, United States. Electronic address: Michael.wen@bcm.edu.
    • Int J Obstet Anesth. 2024 Dec 30; 61: 104320104320.

    AbstractArachnoid cysts are fluid-filled cavities that are usually asymptomatic and do not require surgical intervention. However, there are concerns and limited literature on the safety of neuraxial procedure in obstetric patients with cranial arachnoid cysts. We describe the anesthetic management of a pregnant patient with a large arachnoid cyst with mass effect on the cerebellum who presented in labor. After a multidisciplinary discussion, it was concluded that neuraxial labor anesthesia and labor would be appropriate. Ultimately, the patient received spinal anesthesia for cesarean delivery for fetal intolerance to labor.Copyright © 2024 Elsevier Ltd. All rights reserved.

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