Arachnoid cysts are fluid-filled cavities that are usually asymptomatic and do not require surgical intervention. However, there are concerns and limited literature on the safety of neuraxial procedure in obstetric patients with cranial arachnoid cysts. We describe the anesthetic management of a pregnant patient with a large arachnoid cyst with mass effect on the cerebellum who presented in labor. After a multidisciplinary discussion, it was concluded that neuraxial labor anesthesia and labor would be appropriate. Ultimately, the patient received spinal anesthesia for cesarean delivery for fetal intolerance to labor.
Keywords: Arachnoid cyst; Neuraxial anesthesia; Neuraxial anesthesia with intracranial mass; Obstetric anesthesia.
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