Neuraxial anesthesia in parturients with intracranial pathology: A comprehensive review and reassessment of risk

Anesthesiology

Volumn 119, Issue 3, 2013, Pages 703-718

  Leffert, Lisa R ^a   Schwamm, Lee H ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMINO ACID; CARBON DIOXIDE; DIURETIC AGENT; GLUCOSE; MANNITOL; OXYGEN; STEROID;

ACOUSTIC NEURINOMA; ANESTHESIA; ANESTHESIOLOGICAL PROCEDURE; ARNOLD CHIARI MALFORMATION; ARTERIAL CARBON DIOXIDE TENSION; ARTERIOVENOUS MALFORMATION; BACTERIAL MENINGITIS; BLOOD BRAIN BARRIER; BRAIN BLOOD VOLUME; BRAIN DAMAGE; BRAIN HEMORRHAGE; BRAIN HERNIA; BRAIN PERFUSION; BRAIN PSEUDOTUMOR; BRAIN TISSUE; BRAIN VENTRICLE; CEREBROSPINAL FLUID FLOW; CEREBROSPINAL FLUID PRESSURE; COMMUNICATING HYDROCEPHALUS; COMPUTER ASSISTED TOMOGRAPHY; CONSULTATION; DEHYDRATION; DETERIORATION; ECLAMPSIA; HEADACHE; HUMAN; HYPERTENSION; HYPOPHYSIS ADENOMA; INTRACRANIAL HYPOTENSION; INTRACRANIAL PRESSURE; INTRACRANIAL TUMOR; INTRAUTERINE PRESSURE CATHETER; LABOR; LIQUORRHEA; LUMBAR PUNCTURE; MENINGIOMA; NEUROANATOMY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATIENT ASSESSMENT; PREGNANCY; PRESSURE; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; SPINAL ANESTHESIA; SUBARACHNOID HEMORRHAGE; SUBARACHNOID SPACE; SYSTEMIC CIRCULATION; SYSTOLE; TETHERED CORD SYNDROME; VASOCONSTRICTION; VASODILATATION; VEIN OCCLUSION; VEIN THROMBOSIS; ADVERSE EFFECTS; ANATOMY AND HISTOLOGY; BLOOD VOLUME; BRAIN; BRAIN CIRCULATION; CEREBROSPINAL FLUID; ENCEPHALOCELE; EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; OBSTETRIC ANESTHESIA; PATHOPHYSIOLOGY; PHYSIOLOGY; PROCEDURES; PUNCTURE;

ANESTHESIA, EPIDURAL; ANESTHESIA, OBSTETRICAL; BLOOD VOLUME; BRAIN; CEREBROSPINAL FLUID; CEREBROVASCULAR CIRCULATION; ENCEPHALOCELE; HUMANS; INJECTIONS, EPIDURAL; INTRACRANIAL PRESSURE; RISK ASSESSMENT; SPINAL PUNCTURE;

EID: 84883230750     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0b013e31829374c2     Document Type: Review

References (119)

1. Hawkins JL, Chang J, Palmer SK, Gibbs CP, Callaghan WM: Anesthesia-related maternal mortality in the United States: 1979-2002. Obstet Gynecol 2011; 117: 69-74
2. Practice guidelines for obstetric anesthesia: An updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Anesthesiology 2007; 106: 843-63
3. Bloom SL, Spong CY, Weiner SJ, Landon MB, Rouse DJ, Varner MW, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y, Miodovnik M, O'Sullivan MJ, Sibai B, Langer O, Gabbe SG; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network: Complications of anesthesia for cesarean delivery. Obstet Gynecol 2005; 106: 281-7
4. Briner A, De Roo M, Dayer A, Muller D, Habre W, Vutskits L: Volatile anesthetics rapidly increase dendritic spine density in the rat medial prefrontal cortex during synaptogenesis. Anesthesiology 2010; 112: 546-56
5. Davidson AJ: Anesthesia and neurotoxicity to the developing brain: The clinical relevance. Paediatr Anaesth 2011; 21: 716-21
6. Jevtovic-Todorovic V, Hartman RE, Izumi Y, Benshoff ND, Dikranian K, Zorumski CF, Olney JW, Wozniak DF: Early exposure to common anesthetic agents causes widespread neurodegeneration in the developing rat brain and persistent learning deficits. J Neurosci 2003; 23: 876-82 (Pubitemid 36206178)
7. Loepke AW, Soriano SG: An assessment of the effects of general anesthetics on developing brain structure and neurocognitive function. Anesth Analg 2008; 106: 1681-707
8. Robins K, Lyons G: Intraoperative awareness during general anesthesia for cesarean delivery. Anesth Analg 2009; 109: 886-90
9. Sharma SK, McIntire DD, Wiley J, Leveno KJ: Labor analgesia and cesarean delivery: An individual patient meta-analysis of nulliparous women. Anesthesiology 2004; 100: 142-8; discussion 6A (Pubitemid 38031665)
10. Dickinson JE, Paech MJ, McDonald SJ, Evans SF: Maternal satisfaction with childbirth and intrapartum analgesia in nulliparous labour. Aust N Z J Obstet Gynaecol 2003; 43: 463-8 (Pubitemid 38008591)
11. Hawkins JL: Epidural analgesia for labor and delivery. N Engl J Med 2010; 362: 1503-10
12. Beni-Adani L, Pomeranz S, Flores I, Shoshan Y, Ginosar Y, Ben-Shachar I: Huge acoustic neurinomas presenting in the late stage of pregnancy. Treatment options and review of literature. Acta Obstet Gynecol Scand 2001; 80: 179-84 (Pubitemid 32113474)
13. Boker A, Ong BY: Anesthesia for Cesarean section and posterior fossa craniotomy in a patient with von Hippel-Lindau disease. Can J Anaesth 2001; 48: 387-90 (Pubitemid 32479397)
14. French JL, McCullough J, Bachra P, Bedforth NM: Transversus abdominis plane block for analgesia after caesarean section in a patient with an intracranial lesion. Int J Obstet Anesth 2009; 18: 52-4
15. Smith IF, Skelton V: An unusual intracranial tumour presenting in pregnancy. Int J Obstet Anesth 2007; 16: 82-5 (Pubitemid 44909446)
16. Kuczkowski KM: Labor analgesia for the parturient with neurological disease: What does an obstetrician need to know? Arch Gynecol Obstet 2006; 274: 41-6
17. T ewari KS, Cappuccini F, Asrat T, Flamm BL, Carpenter SE, Disaia PJ, Quilligan EJ: Obstetric emergencies precipitated by malignant brain tumors. Am J Obstet Gynecol 2000; 182: 1215-21 (Pubitemid 30353314)
18. Bharti N, Kashyap L, Mohan VK: Anesthetic management of a parturient with cerebellopontine-angle meningioma. Int J Obstet Anesth 2002; 11: 219-21 (Pubitemid 34836300)
19. May AE, Fombon FN, Francis S: UK registry of high-risk obstetric anaesthesia: Report on neurological disease. Int J Obstet Anesth 2008; 17: 31-6 (Pubitemid 350298887)
20. Abouleish E, Ali V, Tang RA: Benign intracranial hypertension and anesthesia for cesarean section. Anesthesiology 1985; 63: 705-7 (Pubitemid 16217758)
21. Finfer SR: Management of labour and delivery in patients with intracranial neoplasms. Br J Anaesth 1991; 67: 784-7
22. Waxman S: Correlative Neuroanatomy, 23rd edition. Stamford, CT, Appleton & Lange, 1996
23. Dunn LT: Raised intracranial pressure. J Neurol Neurosurg Psychiatry 2002; 73(suppl 1):i23-7 (Pubitemid 41652804)
24. Weerakkody RA, Czosnyka M, Schuhmann MU, Schmidt E, Keong N, Santarius T, Pickard JD, Czosnyka Z: Clinical assessment of cerebrospinal fluid dynamics in hydrocephalus. Guide to interpretation based on observational study. Acta Neurol Scand 2011; 124: 85-98
25. Abbott NJ, Rönnbäck L, Hansson E: Astrocyte-endothelial interactions at the blood-brain barrier. Nat Rev Neurosci 2006; 7: 41-53 (Pubitemid 41828930)
26. Fox MW, Harms RW, Davis DH: Selected neurologic complications of pregnancy. Mayo Clin Proc 1990; 65: 1595-618
27. Crosby ET , Preston R: Obstetrical anaesthesia for a parturient with preeclampsia, HELLP syndrome and acute cortical blindness. Can J Anaesth 1998; 45(5 Pt 1): 452-9 (Pubitemid 28365514)
28. Schwartz RB, Feske SK, Polak JF, DeGirolami U, Iaia A, Beckner KM, Bravo SM, Klufas RA, Chai RY, Repke JT: Preeclampsia-eclampsia: Clinical and neuroradiographic correlates and insights into the pathogenesis of hypertensive encephalopathy. Radiology 2000; 217: 371-6
29. Apollon KM, Robinson JN, Schwartz RB, Norwitz ER: Cortical blindness in severe preeclampsia: Computed tomography, magnetic resonance imaging, and single-photon-emission computed tomography findings. Obstet Gynecol 2000; 95(6 Pt 2): 1017-9 (Pubitemid 30251943)
30. Mokri B: The Monro-Kellie hypothesis: Applications in CSF volume depletion. Neurology 2001; 56: 1746-8 (Pubitemid 32574577)
31. Alperin NJ, Lee SH, Loth F, Raksin PB, Lichtor T: MR-Intracranial pressure (ICP): A method to measure intracranial elastance and pressure noninvasively by means of MR imaging: Baboon and human study. Radiology 2000; 217: 877-85
32. Citerio G, Andrews PJ: Intracranial pressure. Part two: Clinical applications and technology. Intensive Care Med 2004; 30: 1882-5 (Pubitemid 39468408)
33. Heiss JD, Patronas N, DeVroom HL, Shawker T, Ennis R, Kammerer W, Eidsath A, Talbot T, Morris J, Eskioglu E, Oldfield EH: Elucidating the pathophysiology of syringomyelia. J Neurosurg 1999; 91: 553-62 (Pubitemid 30133450)
34. Linninger AA, Xenos M, Zhu DC, Somayaji MR, Kondapalli S, Penn RD: Cerebrospinal fluid flow in the normal and hydrocephalic human brain. IE Trans Biomed Eng 2007; 54: 291-302 (Pubitemid 46188172)
35. Oldfield EH, Muraszko K, Shawker TH, Patronas NJ: Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. Implications for diagnosis and treatment. J Neurosurg 1994; 80: 3-15 (Pubitemid 24020698)
36. Friese S, Hamhaber U, Erb M, Klose U: B-waves in cerebral and spinal cerebrospinal fluid pulsation measurement by magnetic resonance imaging. J Comput Assist Tomogr 2004; 28: 255-62 (Pubitemid 38364992)
37. Hopkins EL, Hendricks CH, Cibils LA: Cerebrospinal fluid pressure in labor. Am J Obstet Gynecol 1965; 93: 907-16
38. Hogan QH, Prost R, Kulier A, Taylor ML, Liu S, Mark L: Magnetic resonance imaging of cerebrospinal fluid volume and the influence of body habitus and abdominal pressure. Anesthesiology 1996; 84: 1341-9 (Pubitemid 26192042)
39. Marx GF, Zemaitis MT, Orkin LR: Cerebrospinal fluid pressures during labor and obstetrical anesthesia. Anesthesiology 1961; 22: 348-54
40. Grocott HP, Mutch WA: Epidural anesthesia and acutely increased intracranial pressure. Lumbar epidural space hydrodynamics in a porcine model. Anesthesiology 1996; 85: 1086-91 (Pubitemid 26378294)
41. Hilt H, Gramm HJ, Link J: Changes in intracranial pressure associated with extradural anaesthesia. Br J Anaesth 1986; 58: 676-80 (Pubitemid 16112359)
42. BROMAGE PR: Continuous lumbar epidural analgesia for obstetrics. Can Med Assoc J 1961; 85: 1136-40
43. Galbert MW, Marx GF: Extradural pressures in the parturient patient. Anesthesiology 1974; 40: 499-502
44. Qaiser R, Black P: Neurosurgery in pregnancy. Semin Neurol 2007; 27: 476-81 (Pubitemid 350022492)
45. Stevenson CB, Thompson RC: The clinical management of intracranial neoplasms in pregnancy. Clin Obstet Gynecol 2005; 48: 24-37 (Pubitemid 40354371)
46. T erauchi M, Kubota T, Aso T, Maehara T: Dysembryoplastic neuroepithelial tumor in pregnancy. Obstet Gynecol 2006; 108(3 Pt 2): 730-2 (Pubitemid 44306405)
47. Chang LY, Carabuena JM, Camann W: Neurologic issues and obstetric anesthesia. Semin Neurol 2011; 31: 374-84
48. Gower DJ, Baker AL, Bell WO, Ball MR: Contraindications to lumbar puncture as defined by computed cranial tomography. J Neurol Neurosurg Psychiatry 1987; 50: 1071-4
49. Mamelak AN, Withers GJ, Wang X: Choriocarcinoma brain metastasis in a patient with viable intrauterine pregnancy. Case report. J Neurosurg 2002; 97: 477-81 (Pubitemid 34827353)
50. van Crevel H, Hijdra A, de Gans J: Lumbar puncture and the risk of herniation: When should we first perform CT? J Neurol 2002; 249: 129-37 (Pubitemid 34143466)
51. Joffe AR: Lumbar puncture and brain herniation in acute bacterial meningitis: A review. J Intensive Care Med 2007; 22: 194-207 (Pubitemid 47094113)
52. Hasbun R, Abrahams J, Jekel J, Quagliarello VJ: Computed tomography of the head before lumbar puncture in adults with suspected meningitis. N Engl J Med 2001; 345: 1727-33
53. Landau R, Giraud R, Delrue V, Kern C: Spinal anesthesia for cesarean delivery in a woman with a surgically corrected type I Arnold Chiari malformation. Anesth Analg 2003; 97: 253-5 (Pubitemid 36736571)
54. Sicuranza GB, Steinberg P, Figueroa R: Arnold-Chiari malformation in a pregnant woman. Obstet Gynecol 2003; 102(5 Pt 2): 1191-4 (Pubitemid 37357095)
55. Chantigian RC, Koehn MA, Ramin KD, Warner MA: Chiari I malformation in parturients. J Clin Anesth 2002; 14: 201-5 (Pubitemid 34556721)
56. Hullander RM, Bogard TD, Leivers D, Moran D, Dewan DM: Chiari I malformation presenting as recurrent spinal headache. Anesth Analg 1992; 75: 1025-6
57. Sathi S, Stieg PE: "Acquired" Chiari I malformation after multiple lumbar punctures: Case report. Neurosurgery 1993; 32: 306-9; discussion 309 (Pubitemid 23052730)
58. Bagga R, Jain V, Das CP, Gupta KR, Gopalan S, Malhotra S: Choice of therapy and mode of delivery in idiopathic intracranial hypertension during pregnancy. MedGenMed 2005; 7:42
59. Karmaniolou I, Petropoulos G, Theodoraki K: Management of idiopathic intracranial hypertension in parturients: Anesthetic considerations. Can J Anaesth 2011; 58: 650-7
60. T ang RA, Dorotheo EU, Schiffman JS, Bahrani HM: Medical and surgical management of idiopathic intracranial hypertension in pregnancy. Curr Neurol Neurosci Rep 2004; 4: 398-409 (Pubitemid 39359938)
61. Alperin N, Ranganathan S, Bagci AM, Adams DJ, Ertl-Wagner B, Saraf-Lavi E, Sklar EM, Lam BL: MRI evidence of impaired CSF homeostasis in obesity-associated idiopathic intracranial hypertension. AJNR Am J Neuroradiol 2013; 34: 29-34
62. Aly EE , Lawther BK: Anaesthetic management of uncontrolled idiopathic intracranial hypertension during labour and delivery using an intrathecal catheter. Anaesthesia 2007; 62: 178-81 (Pubitemid 46099837)
63. Kaul B, Vallejo MC, Ramanathan S, Mandell GL, Krohner RG: Accidental spinal analgesia in the presence of a lumboperitoneal shunt in an obese parturient receiving enoxaparin therapy. Anesth Analg 2002; 95: 441-3 (Pubitemid 34793117)
64. Heckathorn J, Cata JP, Barsoum S: Intrathecal anesthesia for cesarean delivery via a subarachnoid drain in a woman with benign intracranial hypertension. Int J Obstet Anesth 2010; 19: 109-11
65. Bedson CR, Plaat F: Benign intracranial hypertension and anaesthesia for caesarean section. Int J Obstet Anesth 1999; 8: 288-90 (Pubitemid 29516313)
66. Bédard JM, Richardson MG, Wissler RN: Epidural anesthesia in a parturient with a lumboperitoneal shunt. Anesthesiology 1999; 90: 621-3 (Pubitemid 29071533)
67. Kim K, Orbegozo M: Epidural anesthesia for cesarean section in a parturient with pseudotumor cerebri and lumboperitoneal shunt. J Clin Anesth 2000; 12: 213-5 (Pubitemid 30408520)
68. Bradley NK, Liakos AM, McAllister JP II , Magram G, Kinsman S, Bradley MK: Maternal shunt dependency: Implications for obstetric care, neurosurgical management, and pregnancy outcomes and a review of selected literature. Neurosurgery 1998; 43: 448-60; discussion 460-1 (Pubitemid 28400116)
69. Palop R, Choed-Amphai E, Miller R: Epidural anesthesia for delivery complicated by benign intracranial hypertension. Anesthesiology 1979; 50: 159-60 (Pubitemid 9130748)
70. Worrell J, Lane S: Impact of pseudotumor cerebri (idiopathic intracranial hypertension) in pregnancy: A case report. AANA J 2007; 75: 199-204 (Pubitemid 46906370)
71. Hollister N, Todd C, Ball S, Thorp-Jones D, Coghill J: Minimising the risk of accidental dural puncture with epidural analgesia for labour: A retrospective review of risk factors. Int J Obstet Anesth 2012; 21: 236-41
72. Cruickshank RH, Hopkinson JM: Fluid flow through dural puncture sites. An in vitro comparison of needle point types. Anaesthesia 1989; 44: 415-8 (Pubitemid 19125329)
73. Ready LB, Cuplin S, Haschke RH, Nessly M: Spinal needle determinants of rate of transdural fluid leak. Anesth Analg 1989; 69: 457-60 (Pubitemid 20037367)
74. Angle PJ, Kronberg JE, Thompson DE, Ackerley C, Szalai JP, Duffin J, Faure P: Dural tissue trauma and cerebrospinal fluid leak after epidural needle puncture: Effect of needle design, angle, and bevel orientation. Anesthesiology 2003; 99: 1376-82 (Pubitemid 37475184)
75. Grant R, Condon B, Hart I, Teasdale GM: Changes in intracranial CSF volume after lumbar puncture and their relationship to post-LP headache. J Neurol Neurosurg Psychiatry 1991; 54: 440-2
76. Carbaat PA, van Crevel H: Lumbar puncture headache: Controlled study on the preventive effect of 24 hours' bed rest. Lancet 1981; 2: 1133-5 (Pubitemid 11029640)
77. Hilton-Jones D, Harrad RA, Gill MW, Warlow CP: Failure of postural manoeuvres to prevent lumbar puncture headache. J Neurol Neurosurg Psychiatry 1982; 45: 743-6 (Pubitemid 12039880)
78. Warwick WI, Neal JM: Beyond spinal headache: Prophylaxis and treatment of low-pressure headache syndromes. Reg Anesth Pain Med 2007; 32: 455-61 (Pubitemid 47600016)
79. Atanassoff PG, Alon E, Weiss BM, Lauper U: Spinal anaesthesia for caesarean section in a patient with brain neoplasma. Can J Anaesth 1994; 41: 163-4 (Pubitemid 24075111)
80. I nnamaa A, Deering P, Powell MC: Advanced lung cancer presenting with a generalized seizure in pregnancy. Acta Obstet Gynecol Scand 2006; 85: 1148-9 (Pubitemid 44277065)
81. Su TM, Lan CM, Yang LC, Lee TC, Wang KW, Hung KS: Brain tumor presenting with fatal herniation following delivery under epidural anesthesia. Anesthesiology 2002; 96: 508-9
82. Goroszeniuk T, Howard RS, Wright JT: The management of labour using continuous lumbar epidural analgesia in a patient with a malignant cerebral tumour. Anaesthesia 1986; 41: 1128-9 (Pubitemid 17178735)
83. Wang LP, Paech MJ: Neuroanesthesia for the pregnant woman. Anesth Analg 2008; 107: 193-200
84. D'Haese J, Christiaens F, D'Haens J, Camu F: Combined cesarean section and clipping of a ruptured cerebral aneurysm: A case report. J Neurosurg Anesthesiol 1997; 9: 341-5 (Pubitemid 27465486)
85. Whitburn RH, Laishley RS, Jewkes DA: Anaesthesia for simultaneous caesarean section and clipping of intracerebral aneurysm. Br J Anaesth 1990; 64: 642-5 (Pubitemid 20157962)
86. Semple DA, McClure JH: Arnold-Chiari malformation in pregnancy. Anaesthesia 1996; 51: 580-2 (Pubitemid 26175542)
87. Davie CA, O'Brien P: Stroke and pregnancy. J Neurol Neurosurg Psychiatry 2008; 79: 240-5 (Pubitemid 351303375)
88. Stoodley MA, Macdonald RL, Weir BK: Pregnancy and intracranial aneurysms. Neurosurg Clin N Am 1998; 9: 549-56 (Pubitemid 28328469)
89. Dias MS, Sekhar LN: Intracranial hemorrhage from aneurysms and arteriovenous malformations during pregnancy and the puerperium. Neurosurgery 1990; 27: 855-65; discussion 865-6
90. Horton JC, Chambers WA, Lyons SL, Adams RD, Kjellberg RN: Pregnancy and the risk of hemorrhage from cerebral arteriovenous malformations. Neurosurgery 1990; 27: 867-71; discussion 871-2
91. Tiel Groenestege AT, Rinkel GJ, van der Bom JG, Algra A, Klijn CJ: The risk of aneurysmal subarachnoid hemorrhage during pregnancy, delivery, and the puerperium in the Utrecht population: Case-crossover study and standardized incidence ratio estimation. Stroke 2009; 40: 1148-51
92. Bateman BT, Olbrecht VA, Berman MF, Minehart RD, Schwamm LH, Leffert LR: Peripartum subarachnoid hemorrhage: Nationwide data and institutional experience. Anesthesiology 2012; 116: 324-33
93. Doherty A, Ohashi Y, Downey K, Carvalho JC: Phenylephrine infusion versus bolus regimens during cesarean delivery under spinal anesthesia: A double-blind randomized clinical trial to assess hemodynamic changes. Anesth Analg 2012; 115: 1343-50
94. Habib AS: A review of the impact of phenylephrine administration on maternal hemodynamics and maternal and neonatal outcomes in women undergoing cesarean delivery under spinal anesthesia. Anesth Analg 2012; 114: 377-90
95. Gross BA, Du R: Hemorrhage from arteriovenous malformations during pregnancy. Neurosurgery 2012; 71: 349-55; discussion 355-6
96. Le LT, Wendling A: Anesthetic management for cesarean section in a patient with rupture of a cerebellar arteriovenous malformation. J Clin Anesth 2009; 21: 143-8
97. E lias M, Abouleish E, Bhandari A: Arteriovenous malformation during pregnancy and labor-Case review and management. Middle East J Anesthesiol 2001; 16: 231-7
98. Viscomi CM, Wilson J, Bernstein I: Anesthetic management of a parturient with an incompletely resected cerebral arteriovenous malformation. Reg Anesth 1997; 22: 192-7
99. Sharma SK, Herrera ER, Sidawi JE, Leveno KJ: The pregnant patient with an intracranial arteriovenous malformation. Cesarean or vaginal delivery using regional or general anesthesia? Reg Anesth 1995; 20: 455-8
100. Komiyama M, Yasui T, Kitano S, Sakamoto H, Fujitani K, Matsuo S: Moyamoya disease and pregnancy: Case report and review of the literature. Neurosurgery 1998; 43: 360-8; discussion 368-9
101. Kato R, Terui K, Yokota K, Nakagawa C, Uchida J, Miyao H: Anesthetic management for cesarean section in moyamoya disease: A report of five consecutive cases and a minireview. Int J Obstet Anesth 2006; 15: 152-8
102. Sharma SK, Wallace DH, Gajraj NM, Willis C, Sidawi E: Epidural anesthesia for a patient with moyamoya disease presenting for cesarean section. Anesth Analg 1994; 79: 183-5 (Pubitemid 24203456)
103. Ngan Kee WD, Gomersall CD: Extradural anaesthesia for caesarean section in a patient with moyamoya disease. Br J Anaesth 1996; 77: 550-2 (Pubitemid 26341050)
104. O'Connor K, Rees SG: Anaesthetic management for caesarean section in moyamoya disease. Int J Obstet Anesth 2007; 16:94 (Pubitemid 44909454)
105. Dutta B, Dehran M, Sinha R: Anaesthetic management of a parturient with moyamoya disease. Singapore Med J 2011; 52:e108-10
106. Abouleish E, Wiggins M, Ali V: Combined spinal and epidural anesthesia for cesarean section in a parturient with moyamoya disease. Acta Anaesthesiol Scand 1998; 42: 1120-3 (Pubitemid 28478135)
107. Sharma SK, Wallace DH, Sidaiwi JE, Gambling DR: Obstetric anaesthesia and moyamoya disease. Can J Anaesth 1994; 41: 756-7
108. Lockhart EM, Baysinger CL: Intracranial venous thrombosis in the parturient. Anesthesiology 2007; 107: 652-8; quiz 687-8 (Pubitemid 47480572)
109. Cantú C, Barinagarrementeria F: Cerebral venous thrombosis associated with pregnancy and puerperium. Review of 67 cases. Stroke 1993; 24: 1880-4 (Pubitemid 23352719)
110. Brass SD, Copen WA: Neurological disorders in pregnancy from a neuroimaging perspective. Semin Neurol 2007; 27: 411-24 (Pubitemid 350022485)
111. E inhäupl K, Stam J, Bousser MG, De Bruijn SF, Ferro JM, Martinelli I, Masuhr F; European Federation of Neurological Societies: EFNS guideline on the treatment of cerebral venous and sinus thrombosis in adult patients. Eur J Neurol 2010; 17: 1229-35
112. Saposnik G, Barinagarrementeria F, Brown RD Jr, Bushnell CD, Cucchiara B, Cushman M, deVeber G, Ferro JM, Tsai FY; American Heart Association Stroke Council and the Council on Epidemiology and Prevention: Diagnosis and management of cerebral venous thrombosis: A statement for healthcare professionals from the American Heart Association/ American Stroke Association. Stroke 2011; 42: 1158-92
113. Month RC, Vaida SJ: Spinal anesthesia for Cesarean delivery in a patient with cerebral venous sinus thrombosis. Can J Anaesth 2008; 55: 658-9
114. T odorov L, Laurito CE, Schwartz DE: Postural headache in the presence of cerebral venous sinus thrombosis. Anesth Analg 2005; 101: 1499-500 (Pubitemid 41531896)
115. Wilder-Smith E, Kothbauer-Margreiter I, Lämmle B, Sturzenegger M, Ozdoba C, Hauser SP: Dural puncture and activated protein C resistance: Risk factors for cerebral venous sinus thrombosis. J Neurol Neurosurg Psychiatry 1997; 63: 351-6 (Pubitemid 27412378)
116. Dubost C, Le Gouez A, Jouffroy V, Roger-Christoph S, Benhamou D, Mercier FJ, Geeraerts T: Optic nerve sheath diameter used as ultrasonographic assessment of the incidence of raised intracranial pressure in preeclampsia: A pilot study. Anesthesiology 2012; 116: 1066-71
117. Murthy BV, Fogarty DJ, Fitzpatrick K, Brady MM: Headache during epidural top-ups in labour-A sign of reduced intracranial compliance. Anaesth Intensive Care 1995; 23: 744-6 (Pubitemid 26015352)
118. Abboud TK, Sarkis F, Hung TT , Khoo SS, Varakian L, Henriksen E, Noueihed R, Goebelsmann U: Effects of epidural anesthesia during labor on maternal plasma betaendorphin levels. Anesthesiology 1983; 59: 1-5 (Pubitemid 13067803)
119. Klein JP, Hsu L: Neuroimaging during pregnancy. Semin Neurol 2011; 31: 361-73