Anaesthetic management of a patient with 28 weeks of gestation presenting with right intraventricular recurrent meningioma posted for craniotomy and excision of the tumour

Abstract : Mrs.Shanthi, a 34 year old multigravida, was admitted with history of inability in using left upper limb and left lower limb and history of amenorrhea for six months. She underwent surgery for right intra ventricular meningioma six months back. She was diagnosed as a case of recurrent intra ventricular meningioma. CT brain showed features of right intra ventricular mass with midline shift and USG abdomen revealed single live intrauterine gestation of 28 to 30 weeks. She was posted for total excision of the tumour under endotracheal general anaesthesia. Intraoperative hemodynamic parameters were stable. She was extubated after surgery and shifted to Neuro ICU for observation. The postoperative period was uneventful. The biopsy result revealed high grade meningioma. On follow up, she had delivered an alive male baby by normal vaginal delivery without any complications.