Management of sporadic intracranial vascular malformations in pregnancy: a retrospective analysis
Authors' conclusion
In our case series of 16 deliveries, there were no complications directly resulting from neuraxial procedures.
Study context
- Population
- Parturients with a known sporadic intracranial vascular malformation (cavernous malformation, developmental venous anomaly or arteriovenous malformation) delivering 2007–2020
- Participants
- 10 participants · 16 deliveries
- Outcome
- Peripartum mode of delivery and anaesthesia
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- Cesarean delivery without trial of labor
- 13 (81.3%)
- Single-shot spinal for surgical anesthesia (of planned cesareans)
- 11 of these (84.6%)
- Epidural for surgical anesthesia (of planned cesareans)
- two (15.4%)
- Trial of labor converted to cesarean for failure to progress (1 epidural, 1 CSE)
- Two deliveries (12.5%)
- Spontaneous vaginal delivery with epidural analgesia
- One delivery
- Overall cesarean delivery rate
- 93.8%
- Overall spontaneous vaginal delivery rate
- 6.2%
Observational data: associations, not effects.
Safety
- Pregnancies complicated by seizure, obstructive hydrocephalus or intracranial hemorrhage
- 3 of 16
- ICU admissions
- 0
- Maternal deaths
- 0
- Complications directly resulting from neuraxial procedures
- 0
Original publication
Management of sporadic intracranial vascular malformations in pregnancy: a retrospective analysis. Int J Obstet Anesth. Published 19 March 2024. doi:10.
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