Anaesthetic Management of a Parturient with Meningioma and an Obstructive Hydrocephalus

Abstract

A 40-year-old Gravida 4, Para 3 Hb AA patient with a history of one previous caesarean delivery presented at 30 weeks + 1 day of gestation with a CT scan confirmed diagnosis of meningioma with obstructive hydrocephalus. She had caesarean delivery under general anaesthesia. Taming of suxamethonium was done for endotracheal intubation, and the pain was managed with a transversus abdominis plane block. This study highlights anaesthetic management and the role of combining different techniques in managing meningioma in a resource-poor environment. The challenges to be highlighted include intubating a patient with a raised intracranial pressure, anaesthetic management of delivering a foetus without compromising the neurophysiological state of the mother and maintaining a stable haemodynamic state as there is a shift in autoregulation.