This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 49.1 . Key Concepts The need for neurosurgery during pregnancy is rare but may include procedures for management of intracranial hemorrhage, traumatic brain injury, symptomatic…
This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 7.1 . Key Concepts Timely preanesthetic evaluation is critical for safety of perioperative care, optimal resource utilization, improved outcomes, and patient satisfaction for the neurosurgical…
Pearls Sudden and sustained blood loss remains an important perioperative concern in iAVM procedures and requires anticipatory management. Malignant cerebral edema and intracranial hypertension may be refractory to medical management following iAVM treatment. Clinical and subclinical seizures require vigilance in…
Pearls Hemodynamic stability is paramount during iAVM intervention and predicated upon euvolemia and adequate anesthesia depth. Brain relaxation and surgical field optimization facilitates resection (see Table 25.1 ). No anesthetic agent or hypothermia has been shown to be superior in…
Case Synopsis A 22-year-old previously healthy man sustained a head injury, as well as an unstable pelvic and femur fracture, following a motorcycle accident. He was initially combative but quickly became obtunded with a Glasgow Coma Scale (GCS) score of…