Obstetric anesthesia

Anesthetic and perioperative management of pregnant patients undergoing neurosurgery: a case series from a single center in Morocco (2017–2024)

Int J Obstet AnesthPublished Retrospective case series

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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