Question Date: 19/01/2024
Question: Which of the following neurological conditions pose increased risk to neuraxial anesthesia in pregnancy?
Options:
Correct Answer: Brain tumor
Explaination: Neurological conditions that do not pose increased risk for women undergoing neuraxial anesthesia:<br>Epilepsy, Pre-eclampsia, syringomyelia, multiple sclerosis, GBS, aneurysm, AV malformation, Aspirin use, ventricular shunt, Idiopathic intracranial hypertension<br>Conditions that need review are-<br>Brain tumor, Neurofibromatosis, Spinal muscular atrophy, Spina bifida<br><br>Contraindications to neuraxial anesthesia-<br>INR>1.6, Anticoagulation, Platelet inhibitors- clopidogrel, Brain tumor with mass effect
Reference: Continuum : Neurology of pregnancy (February 2022, Volume 28,no 1) Neurologic complications of Obstetric anaesthesia. Page 168-169