Management of anesthesia in cerebellum cavernous with developmental venous anomaly that causes acute cerebellar bleeding following COVID-19 infection

Abstract

Cerebellum cavernous also known as cavernous hemangioma is a vascular malformation of the cerebellum, usually with characteristics that appear on the magnetic resonance image (MRI). Cerebellum cavernous is the third most malformation of the cerebellum after venous anomalies and capillary telangiectasis with an incidence of 0.5% of the General population usually not noticed until a hemorrhagic event occurs. Cavernomas can be seen in conjunction with developmental venous anomaly (DVAs) in 20% (range 20%-40%) cases, in which case they are known as mixed vascular malformations. We describe anaesthetic management in a 28-year-old woman with cerebellum cavern with developmental venous anomaly (DVAs) that causes acute bleeding. Occipital craniectomy for cerebellar tumor resection is performed using neuronavigation under total intravenous anesthesia and scalp block using 0.5% ropivacaine without complications. The surgery lasts for six hours and the cavernomas can be removed completely. The patient was discharged home on the fifth day of postoperative surgery with no neurological deficit.