Intracranial Pathology and Neuraxial Anesthesia: A Clinical Dilemma

Authors

• Ellanya Kallabat, Corewell Health East Resident
• Roy Soto, Corewell Health East
• Patrick Thrasher, Corewell Health East Resident

Document Type

Conference Proceeding

Publication Date

10-18-2026

Abstract

A 32-year-old G9P2154 at 33 weeks and 5 days’ gestation presented for scheduled cesarean delivery of twins. Her pregnancy was complicated by a previously diagnosed multilobular mass involving the bilateral cerebellum with concern for altered intracranial dynamics. Neurosurgery recommended limiting CSF drainage to < 10ml during neuraxial anesthesia. Because reliable control of CSF flow could not be ensured, general anesthesia was selected to avoid abrupt intracranial pressure changes. This case highlights the complexity of anesthetic decision-making in parturients with intracranial pathology and the importance of coordinated multidisciplinary management.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

Recommended Citation

Kallabat E, Soto R, Thrasher P. Intracranial pathology and neuraxial anesthesia: a clinical dilemma. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2026 Oct 18; San Diego, CA. Available from: https://www.abstractsonline.com/pp8/#!/21448/presentation/7479