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Porod pri nevrokirurški bolnici = Delivery in a neurosurgical patient
Tekavčič, Igor ; Benedičič, Mitja ; Jančar, Nina, medicina
The incidence of tumors of the central nervous system in pregnant women does not differ from that in nonpregnant women of similar age, although the incidence of subarachnoid bleeding is somewhat ...higher. Unfortunately, the presenting symptoms of central nervous system diseases are often attributed tonormal complaints of pregnancy. Highly malignant brain tumors and subarachnoid bleeding due to aneurysmal rupture require immediate surgical intervention regardless of the gestational age of the fetus. Treatment of low-grade or benign tumors, asymptomatic arteriovenous malformations and incidentally discovered unruptured aneurysms may be delayed until term. Cesarean section under general anesthesia is indicated when additional neurological deterioration during labor is possible. A multidisciplinary approach is required and management decisions should be individualized.
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