Abstract :
Cerebrovascular accident in pregnancy may occur as a complication of hypertensive disorders of pregnancy & urgent non-contrast computed tomography brain is required to rule out intracerebral haemorrhage along with other investigations to find the underlying aetiology. Management of cerebrovascular accident during pregnancy may be conservative, neurosurgical or thrombolysis. However, if associated with raised intracranial pressure, priority should be given to airway protection, ventilation, reduction of intracranial pressure & neuroprotection along with the definitive treatment. We report herein a case of cerebrovascular accident who presented at term pregnancy with hemiplegia with impending eclampsia & foetal distress with deteriorating Glasgow Coma Scale requiring urgent stabilisation & emergency caesarean section prior to any brain imaging to establish the cause rendering the anaesthetic management challenging.
Keyword :
Anaesthesia, Cerebrovascular accident, Emergency caesarean section, Hemiplegia, Severe preeclampsia.