Abstract
We experienced anesthetic management of the removal of a hematoma due to AVM (cerebral arterio-venous malformation) rupture and Caesarean Section. The 28-year-old female patient, who was in the 32nd week of pregnancy, suffered from sudden onset of headache, vomiting, disturbance of consciousness and convulsion. Right cerebral hemorrhage due to ruptured AVM was diagnosed by computed tomography and cerebral angiography. The removal of the hematoma was performed promptly because it is necessary for correction of intracranial hypertension. Caesarean Section was performed under general anesthesia right after removal of the hematoma because of the threat of premature delivery after the neurosurgical operation.