By dates, she is 9 ½ weeks and the crown-rump length measurement is concordant with good cardiac motion noted. The cervix appears to be long and closed and the intraamniotic cavity appears normal. …show more content…
In addition, acetazolamide can be used in pregnancy if she has any symptoms. She states that she does have a follow-up appointment with neurology in the next couple of weeks. The primary issue would be anesthesia during delivery. We would need neurology to let us know if epidural and/or spinal anesthesia are any issues related to the increased intracranial pressure. In addition, whether or not there would be any concern with Valsalva maneuver in the second stage of labor. Again, these would need to be answered by neurology in conjunction with anesthesiology; however, obstetrical management can remain routine and acetazolamide can be used if the patient were to become symptomatic and/or if neurology felt that this drug should be used to decrease the intracranial