We report the anaesthetic management of a term pregnant woman with active tuberculous meningitis, who had experienced seizures, had signs of raised intracranial pressure and required emergency caesarean section. Peripartum anaesthetic management of a patient with tuberculous meningitis is a rare event.
KhatriG.R., FriedenT.R.Controlling tuberculosis in India.N Engl J Med2002; 347: 1420–1425.
2.
MurthyJ.M.K.Tuberculous meningitis: the challenges.Neurology India2010; 58: 716–722.
3.
AtanassoffP.G., WeiB.M.Spinal anesthesia for cesarean section in a patient with brain neoplasm.Can J Anaesth1994; 41: 163–164.
4.
KorulaG., FarlingP.Anesthetic management for a combined cesarean section and posterior fossa craniectomy.J Neurosurg Anesthesiol1998; 10: 30–33.
5.
LandrumL.M., HawkinsA., GoodmanJ.R.Pneumococcal meningitis during pregnancy: a case report and review of literature.Infect Dis Obstet Gynecol2009; 2009: 63624.
6.
GasparettoE.L., TazonieroP., de Carvalho NetoA.Disseminated tuberculosis in a pregnant woman presenting with numerous brain tuberculomas: case report.Arq Neuropsiquiatr2003; 61: 855–858.
7.
EnyeS., GanapathyR., BraithwaiteO.Proteinuria in status epilepticus or eclampsia; a diagnostic dilemma.Am J Emerg Med2009; 27: 625.e5-6.
8.
RoelvinkN.C., KampjorstW., vanAlphen, HA RoaB.R.Pregnancy-related primary brain and spinal tumors.Arch Neurol1987; 44: 209–215.
9.
VallejoJ.G., StarkeJ.R.Tuberculosis and pregnancy.Clin Chest Med1992; 13: 693–707.
10.
MooreJ., DundeeJ.W., ClarkeR.S.J.Pharmacology of drugs in pregnancy. In: MccaugheyW., ed. Clinical Anesthetic Pharmacology1991. p. 519–532.
11.
Seong-HoonK., Dong-ChanK., Young-JinH., He-SunS.Small-dose fentanyl: optimal time of injection for blunting the circulatory responses to tracheal intubation.Anesth Analg1998; 86: 658–661.
12.
InadaE., CullenD.J., NemeskalA.R., TeplickR.Effect of labetalol or lidocaine on the hemodynamic response to intubation: a controlled randomized double-blind study.J Clin Anesth1989; 1: 207–213.
13.
SibaiB.M., MabieW.C., ShamsaF., VillarM.A., AndersonG.D.A comparison of no medication versus methyldopa or labetalol in chronic hypertension during pregnancy.Am J Obstet Gynecol1990; 162: 960–966; discussion 966-967.
14.
WangL.P., PaechM.J.Neuroanesthesia for the pregnant woman.Anesth Analg2008; 107: 193–200.
15.
ChangL., Looi-LyonsL., BartosikL., TindalS.Anesthesia for caesarean section in two patients with brain tumors.Can J Anesth1999; 46: 61–65.
16.
GoroszeniukT., HowardR.S., WrightJ.T.The management of labour using continuous lumbar epidural analgesia in a patient with a malignant cerebral tumour.Anaesthesia1986; 41: 1128–1129.
17.
ThwaitesG., FisherM., HemingwayC., ScottG., SolomonT., InnesJ.; British Infection Society. British Infection Society guidelines for the diagnosis and treatment of tuberculosis of the central nervous system in adults and children.J Infect2009; 59: 167–187.
18.
MurthyJ.M.Management of intracranial pressure in tuberculous meningitis.Neurocrit Care2005; 2: 306–312.
19.
BenskyA.S., KothadiaJ.M., CovitzW.Cardiac effects of dexamethasone in very low birth weight infants.Pediatrics1996; 97: 818–821.