Abstract:
Stroke 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
