Anesthetic and perioperative management of pregnant patients undergoing neurosurgery: a case series from a single center in Morocco (2017–2024)
Authors' conclusion
Maternal outcomes were primarily influenced by the severity and etiology of the neurological pathology.
Study context
- Population
- Pregnant patients undergoing neurosurgery, Hassan II University Hospital, Fez, Morocco, 2017–2024 (resource-limited setting)
- Participants
- 10 patients
- Outcome
- Anaesthetic management and maternal and fetal outcomes (GCS, Glasgow Outcome Scale-Extended, Apgar score at 5 minutes)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Anaesthetic management and maternal and fetal outcomes
- Maternal deaths following cerebral complications
- 4
- Intrauterine fetal demises
- 2
- TIVA
- 4
- Propofol-sevoflurane combinations
- 6
- Osmotic therapy
- 7
Observational data: associations, not effects.
Further findings
Patient characteristics and diagnoses
- Maternal age, mean ± SD (years)
- 26.4 ± 6.2
- Gestational age at surgery, median [range]
- 25 weeks + 4 days [10-34]
- TBI
- 4
- Spontaneous intracerebral hemorrhage
- 3
- Neuro-meningeal tuberculosis
- 1
- Severe cerebral infarction
- 1
- Venous sinus thrombosis
- 1
Original publication
Anesthetic and perioperative management of pregnant patients undergoing neurosurgery: a case series from a single center in Morocco (2017–2024). Int J Obstet Anesth. Published 30 May 2025. doi:10. 1016/ j. ijoa. 2025. 104695
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