Anesthetic management of combined emergency cesarean section and craniotomy for intracerebral hemorrhage in a patient with severe pre-eclampsia

SummaryStroke due to intracerebral hemorrhage is a recognized life threatening but rare complication of eclampsia and severe pre-eclampsia. Literature reporting the anesthetic management of combined emergency cesarean section and craniotomy are scarce. We describe the anesthetic management of a 21-year-old primigravida who underwent combined emergency cesarean section and craniotomy for intracerebral hemorrhage secondary to severe pre-eclampsia. Management of a pregnant woman with an intracerebral bleed and the emergency situation is an anesthetic challenge. A combined procedure as above requires good communication and co-ordination between various specialities and attention to details to ensure successful maternal and neonatal outcome.