[Obstetric anaesthesia in two patients with cerebral cavernomas: about two cases]. / Anesthésie obstétricale chez des patientes porteuses de cavernomes cérébraux : à propos de deux cas.

ABSTRACT

Prevalence of cerebral cavernous malformations is comprised in between 0.4 to 0.8% of the people. Anesthetic management of pregnant women suffering from this disease is often difficult. We have witnessed two cases of delivery concerning two patients suffering from a cerebral cavernous malformation, one with vaginal delivery under peridural analgesia and the other one with cesarean delivery under rachianesthesia. We recommend the realization of a magnetic resonance imaging the year before delivery. Without medullar cavernous malformations, perimedullar analgesia seems to be the preferred method of choice.