Pregnancy and cavernomas

Effects of pregnancy on cavernomas

• There is a higher risk of cavernoma growth
• The risk of bleeding in pregnancy is probably not increased

Pre-conception management of cavernomas

Conservative management of cavernomas in pregnancy

Surgical management of cavernomas in pregnancy: indications

Surgical management of cavernomas in pregnancy: consdierations

Vaginal delivery with cavernomas

Cesarean delivery with cavernomas

Management of the post-labour period

References

1. Yamada S, Nakase H, Nakagawa I, Nishimura F, Motoyama Y, Park YS. Cavernous malformations in pregnancy. Neurol Med Chir (Tokyo) 2013; 53:555-560. 
2. Joseph NK, Kumar S, Brown RD Jr, Lanzino G, Flemming KD. Influence of pregnancy on hemorrhage risk in women with cerebral and spinal cavernous malformations. Stroke 2021; 52:434-441. 
3. Akers A, Al-Shahi Salman R, A Awad I, et al. Synopsis of guidelines for the clinical management of cerebral cavernous malformations: consensus recommendations based on systematic literature review by the Angioma Alliance Scientific Advisory Board Clinical Experts Panel. Neurosurgery 2017; 80:665-680.
4. Kalani MY, Zabramski JM. Risk for symptomatic hemorrhage of cerebral cavernous malformations during pregnancy. J Neurosurg 2013; 118:50-55. 
5. Puthenveettil N, Mohan N, Raja S, Nair S. Anaesthetic management of a parturient with medullary cavernoma. Indian J Anaesth 2022; 66:877-878.
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Related checklists

• Pregnancy and cerebral aneurysms
• Pregnancy and arteriovenous malformations (AVMs): clinical features
• Pregnancy and arteriovenous malformations (AVMs): management